Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.02 / $2,582.00 / $8,294.00	Facility		$135.02	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $167.54 / $243.89	Professional		$112.96	$167.54	$243.89
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 $116.78 / $182.86 / $277.66	Professional		$116.78	$182.86	$277.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $138.52 / $2,315.00	Professional		$128.94	$138.52	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $204.99 / $204.99	Facility		$204.99	$204.99	$204.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $189.71 / $331.01	Professional		$116.63	$189.71	$331.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $231.62 / $275.74	Professional		$206.25	$231.62	$275.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $176.88 / $265.48	Facility		$113.28	$176.88	$265.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $258.00 / $369.00	Professional		$226.00	$258.00	$369.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.79 / $148.59 / $2,156.00	Facility		$106.79	$148.59	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.11 / $242.65 / $2,156.00	Professional		$167.11	$242.65	$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 $140.35 / $190.63 / $348.87	Professional		$140.35	$190.63	$348.87