Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $3,542.97 / $8,294.00	Facility		$57.59	$3,542.97	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $111.31 / $198.76	Professional		$55.17	$111.31	$198.76
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 $57.29 / $107.17 / $168.14	Professional		$57.29	$107.17	$168.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $65.72 / $2,315.00	Professional		$61.24	$65.72	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $103.85 / $103.85	Facility		$103.85	$103.85	$103.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $122.22 / $206.51	Professional		$62.44	$122.22	$206.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $141.55 / $168.51	Professional		$127.42	$141.55	$168.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $110.40 / $172.40	Facility		$57.59	$110.40	$172.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $184.21 / $228.00	Professional		$156.00	$184.21	$228.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $90.47 / $2,220.13	Facility		$61.68	$90.47	$2,220.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $161.79 / $2,220.13	Professional		$108.65	$161.79	$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 $98.49 / $129.99 / $222.72	Professional		$98.49	$129.99	$222.72