Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $3,226.00 / $7,275.00	Facility		$147.13	$3,226.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $169.39 / $302.43	Professional		$118.87	$169.39	$302.43
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 $127.89 / $175.71 / $258.42	Professional		$127.89	$175.71	$258.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $145.22 / $2,315.00	Professional		$130.12	$145.22	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.46 / $222.46 / $222.46	Facility		$222.46	$222.46	$222.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $178.53 / $317.83	Professional		$131.38	$178.53	$317.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.58 / $203.36 / $242.10	Professional		$181.58	$203.36	$242.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $170.46 / $250.00	Facility		$121.69	$170.46	$250.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $233.00 / $334.00	Professional		$206.00	$233.00	$334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.69 / $162.99 / $2,156.00	Facility		$127.69	$162.99	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $212.26 / $2,156.00	Professional		$153.16	$212.26	$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 $130.82 / $176.12 / $304.85	Professional		$130.82	$176.12	$304.85