Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.21 / $1,864.00 / $6,827.70	Facility		$164.21	$1,864.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $144.74 / $274.05	Professional		$91.06	$144.74	$274.05
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 $101.23 / $149.46 / $219.79	Professional		$101.23	$149.46	$219.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $114.67 / $2,413.00	Professional		$103.40	$114.67	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $177.27 / $177.27	Facility		$177.27	$177.27	$177.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $153.82 / $279.45	Professional		$104.04	$153.82	$279.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $183.07 / $217.94	Professional		$163.02	$183.07	$217.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.17 / $143.59 / $214.90	Facility		$98.17	$143.59	$214.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $204.00 / $296.00	Professional		$177.00	$204.00	$296.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $130.79 / $1,082.00	Facility		$96.79	$130.79	$1,082.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $190.24 / $1,082.00	Professional		$136.19	$190.24	$1,082.00
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 $112.46 / $157.38 / $272.98	Professional		$112.46	$157.38	$272.98