Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $1,792.00 / $5,743.00	Facility		$82.69	$1,792.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $112.70 / $226.06	Professional		$44.51	$112.70	$226.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $99.72 / $172.27	Professional		$44.25	$99.72	$172.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $51.34 / $974.00	Professional		$48.20	$51.34	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.36 / $79.36 / $79.36	Facility		$79.36	$79.36	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $119.17 / $208.28	Professional		$47.36	$119.17	$208.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $145.50 / $173.21	Professional		$128.91	$145.50	$173.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $107.25 / $180.27	Facility		$44.44	$107.25	$180.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $189.81 / $231.00	Professional		$108.62	$189.81	$231.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $68.76 / $1,098.00	Facility		$50.05	$68.76	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $169.55 / $1,098.00	Professional		$126.54	$169.55	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $129.49 / $222.22	Professional		$78.28	$129.49	$222.22