Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $1,912.00 / $8,294.00	Facility		$71.48	$1,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $130.62 / $253.79	Professional		$53.74	$130.62	$253.79
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 $53.47 / $123.86 / $213.95	Professional		$53.47	$123.86	$213.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $62.02 / $974.00	Professional		$58.37	$62.02	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $95.88 / $95.88	Facility		$95.88	$95.88	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $148.32 / $251.96	Professional		$57.17	$148.32	$251.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.29 / $181.09 / $215.59	Professional		$160.29	$181.09	$215.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $130.44 / $218.15	Facility		$53.88	$130.44	$218.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $232.31 / $280.00	Professional		$131.13	$232.31	$280.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $83.38 / $1,098.00	Facility		$60.48	$83.38	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $205.88 / $1,098.00	Professional		$154.52	$205.88	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $165.84 / $277.10	Professional		$123.64	$165.84	$277.10