Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.26 / $3,484.00 / $8,294.00	Facility		$141.26	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $187.63 / $274.33	Professional		$122.19	$187.63	$274.33
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 $120.90 / $188.39 / $286.05	Professional		$120.90	$188.39	$286.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $143.50 / $2,315.00	Professional		$133.34	$143.50	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $212.59 / $212.59	Facility		$212.59	$212.59	$212.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $196.20 / $343.50	Professional		$121.98	$196.20	$343.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $238.73 / $284.20	Professional		$212.59	$238.73	$284.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $185.05 / $275.55	Facility		$118.57	$185.05	$275.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $274.00 / $380.00	Professional		$237.00	$274.00	$380.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.73 / $161.28 / $2,156.00	Facility		$111.73	$161.28	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $249.53 / $2,156.00	Professional		$169.81	$249.53	$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 $146.79 / $205.40 / $360.44	Professional		$146.79	$205.40	$360.44