Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $3,620.37 / $7,686.88	Facility		$151.13	$3,620.37	$7,686.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $136.97 / $250.81	Professional		$92.84	$136.97	$250.81
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 $102.81 / $142.62 / $210.51	Professional		$102.81	$142.62	$210.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $117.56 / $2,413.00	Professional		$104.15	$117.56	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $178.11 / $178.11	Facility		$178.11	$178.11	$178.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $143.08 / $257.60	Professional		$105.29	$143.08	$257.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $167.96 / $199.95	Professional		$149.19	$167.96	$199.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $138.22 / $205.01	Facility		$97.13	$138.22	$205.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $183.00 / $270.00	Professional		$166.00	$183.00	$270.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $129.36 / $2,220.13	Facility		$101.82	$129.36	$2,220.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $176.54 / $2,220.13	Professional		$123.45	$176.54	$2,220.13
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 $107.18 / $143.97 / $254.56	Professional		$107.18	$143.97	$254.56