Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $3,633.00 / $7,963.87	Facility		$133.86	$3,633.00	$7,963.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $117.73 / $219.70	Professional		$73.90	$117.73	$219.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $121.22 / $178.26	Professional		$78.69	$121.22	$178.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $89.01 / $3,026.00	Professional		$80.15	$89.01	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $123.48 / $221.30	Professional		$81.59	$123.48	$221.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $149.03 / $177.41	Professional		$132.72	$149.03	$177.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $117.48 / $175.36	Facility		$77.25	$117.48	$175.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $167.00 / $245.00	Professional		$148.00	$167.00	$245.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $105.34 / $2,156.00	Facility		$79.70	$105.34	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $156.84 / $2,156.00	Professional		$111.65	$156.84	$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 $94.45 / $128.74 / $224.01	Professional		$94.45	$128.74	$224.01