Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $3,633.00 / $8,920.00	Facility		$83.39	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $122.21 / $218.15	Professional		$66.66	$122.21	$218.15
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 $67.16 / $128.06 / $208.92	Professional		$67.16	$128.06	$208.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $77.98 / $974.00	Professional		$72.43	$77.98	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $121.18 / $121.18	Facility		$121.18	$121.18	$121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $136.90 / $241.86	Professional		$71.95	$136.90	$241.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $177.14 / $210.88	Professional		$157.83	$177.14	$210.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $133.26 / $204.53	Facility		$67.73	$133.26	$204.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $197.00 / $284.00	Professional		$160.00	$197.00	$284.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $95.24 / $1,098.00	Facility		$69.00	$95.24	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $186.42 / $1,098.00	Professional		$120.46	$186.42	$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 $104.66 / $148.74 / $274.23	Professional		$104.66	$148.74	$274.23