Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $3,633.00 / $8,920.00	Facility		$70.48	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $107.92 / $197.56	Professional		$56.66	$107.92	$197.56
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 $56.34 / $115.00 / $188.76	Professional		$56.34	$115.00	$188.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $65.42 / $974.00	Professional		$61.61	$65.42	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $101.38 / $101.38	Facility		$101.38	$101.38	$101.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $116.73 / $219.87	Professional		$60.23	$116.73	$219.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $159.86 / $190.31	Professional		$142.19	$159.86	$190.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $114.85 / $183.82	Facility		$56.70	$114.85	$183.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $178.00 / $258.00	Professional		$135.00	$178.00	$258.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $80.64 / $1,098.00	Facility		$55.91	$80.64	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $168.35 / $1,098.00	Professional		$100.22	$168.35	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $136.26 / $248.28	Professional		$92.75	$136.26	$248.28