Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $3,633.00 / $8,920.00	Facility		$83.99	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $123.91 / $173.38	Professional		$67.56	$123.91	$173.38
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 $65.89 / $123.24 / $200.66	Professional		$65.89	$123.24	$200.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $75.47 / $974.00	Professional		$71.63	$75.47	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $118.50 / $118.50	Facility		$118.50	$118.50	$118.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $135.77 / $237.33	Professional		$69.53	$135.77	$237.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $167.29 / $199.15	Professional		$150.43	$167.29	$199.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $127.80 / $200.21	Facility		$67.95	$127.80	$200.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $190.00 / $283.00	Professional		$156.00	$190.00	$283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $99.31 / $1,098.00	Facility		$71.90	$99.31	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $184.50 / $1,098.00	Professional		$125.84	$184.50	$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 $86.35 / $143.33 / $251.56	Professional		$86.35	$143.33	$251.56