Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.32 / $2,265.14 / $8,294.00	Facility		$123.32	$2,265.14	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $150.44 / $284.41	Professional		$99.84	$150.44	$284.41
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 $104.40 / $152.96 / $224.93	Professional		$104.40	$152.96	$224.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $117.61 / $2,413.00	Professional		$105.95	$117.61	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $183.87 / $183.87	Facility		$183.87	$183.87	$183.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $157.46 / $291.60	Professional		$109.01	$157.46	$291.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $186.65 / $222.20	Professional		$166.99	$186.65	$222.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $150.54 / $225.68	Facility		$103.05	$150.54	$225.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $217.00 / $313.00	Professional		$188.00	$217.00	$313.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.51 / $139.32 / $2,156.00	Facility		$105.51	$139.32	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.97 / $195.14 / $2,156.00	Professional		$142.97	$195.14	$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 $121.71 / $163.85 / $285.14	Professional		$121.71	$163.85	$285.14