Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.06 / $2,314.00 / $5,743.00	Facility		$180.06	$2,314.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $154.94 / $305.38	Professional		$95.82	$154.94	$305.38
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 $110.75 / $164.70 / $242.19	Professional		$110.75	$164.70	$242.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $125.22 / $2,413.00	Professional		$113.19	$125.22	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.21 / $194.21 / $194.21	Facility		$194.21	$194.21	$194.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $169.42 / $308.95	Professional		$115.27	$169.42	$308.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $202.10 / $240.60	Professional		$180.13	$202.10	$240.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $158.88 / $239.62	Facility		$107.12	$158.88	$239.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $227.00 / $330.00	Professional		$202.00	$227.00	$330.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $148.15 / $2,156.00	Facility		$111.21	$148.15	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $210.76 / $2,156.00	Professional		$151.82	$210.76	$2,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $170.17 / $279.58	Professional		$116.82	$170.17	$279.58