Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $3,226.00 / $8,294.00	Facility		$126.73	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $160.78 / $201.43	Professional		$102.75	$160.78	$201.43
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 $108.54 / $182.72 / $279.64	Professional		$108.54	$182.72	$279.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $2,315.00	Professional		$106.74	$106.74	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $191.97 / $191.97	Facility		$191.97	$191.97	$191.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $192.53 / $306.14	Professional		$113.19	$192.53	$306.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $235.69 / $280.58	Professional		$209.09	$235.69	$280.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $176.59 / $269.36	Facility		$106.40	$176.59	$269.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $252.00 / $344.00	Professional		$210.00	$252.00	$344.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $145.85 / $1,098.00	Facility		$105.11	$145.85	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.99 / $237.61 / $1,098.00	Professional		$164.99	$237.61	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $206.69 / $341.12	Professional		$142.69	$206.69	$341.12