Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $3,226.00 / $7,686.88	Facility		$181.13	$3,226.00	$7,686.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $175.21 / $319.44	Professional		$121.43	$175.21	$319.44
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 $130.11 / $180.48 / $265.77	Professional		$130.11	$180.48	$265.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $147.22 / $3,426.00	Professional		$132.19	$147.22	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $229.37 / $229.37	Facility		$229.37	$229.37	$229.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $184.77 / $333.01	Professional		$134.44	$184.77	$333.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $210.34 / $250.40	Professional		$188.08	$210.34	$250.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $176.20 / $256.41	Facility		$124.75	$176.20	$256.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $242.00 / $348.00	Professional		$210.00	$242.00	$348.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $168.36 / $2,156.00	Facility		$126.24	$168.36	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $219.60 / $2,156.00	Professional		$160.79	$219.60	$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 $129.28 / $180.10 / $304.67	Professional		$129.28	$180.10	$304.67