Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.30 / $3,633.00 / $8,920.00	Facility		$87.30	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $115.54 / $204.37	Professional		$66.00	$115.54	$204.37
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 $70.03 / $131.40 / $213.95	Professional		$70.03	$131.40	$213.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $81.34 / $974.00	Professional		$75.62	$81.34	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $126.24 / $126.24	Facility		$126.24	$126.24	$126.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $136.09 / $248.94	Professional		$75.02	$136.09	$248.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $181.37 / $215.91	Professional		$161.71	$181.37	$215.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $132.69 / $207.28	Facility		$70.62	$132.69	$207.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $202.00 / $292.00	Professional		$150.00	$202.00	$292.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $98.16 / $1,098.00	Facility		$72.23	$98.16	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.52 / $190.95 / $1,098.00	Professional		$112.52	$190.95	$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 $98.00 / $148.93 / $280.68	Professional		$98.00	$148.93	$280.68