Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $3,633.00 / $8,920.00	Facility		$73.63	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $109.26 / $199.66	Professional		$57.00	$109.26	$199.66
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 $59.21 / $115.05 / $188.30	Professional		$59.21	$115.05	$188.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $68.76 / $974.00	Professional		$64.03	$68.76	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $106.46 / $106.46	Facility		$106.46	$106.46	$106.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $114.35 / $208.60	Professional		$63.32	$114.35	$208.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $159.62 / $190.03	Professional		$142.13	$159.62	$190.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $114.57 / $178.49	Facility		$59.52	$114.57	$178.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $153.00 / $252.00	Professional		$130.00	$153.00	$252.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $83.50 / $1,098.00	Facility		$60.92	$83.50	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $164.57 / $1,098.00	Professional		$97.61	$164.57	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $132.19 / $245.11	Professional		$90.67	$132.19	$245.11