Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $3,633.00 / $8,920.00	Facility		$75.25	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $109.95 / $229.00	Professional		$58.61	$109.95	$229.00
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 $58.89 / $116.82 / $190.59	Professional		$58.89	$116.82	$190.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $67.92 / $974.00	Professional		$64.23	$67.92	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $120.25 / $225.02	Professional		$62.13	$120.25	$225.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $159.58 / $189.98	Professional		$142.63	$159.58	$189.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $121.87 / $189.18	Facility		$59.97	$121.87	$189.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $181.00 / $265.00	Professional		$136.00	$181.00	$265.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $85.37 / $1,098.00	Facility		$62.19	$85.37	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $172.63 / $1,098.00	Professional		$104.49	$172.63	$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 $86.96 / $138.40 / $255.50	Professional		$86.96	$138.40	$255.50