Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $3,633.00 / $8,920.00	Facility		$109.61	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $124.91 / $148.94	Professional		$97.18	$124.91	$148.94
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 $96.79 / $139.28 / $203.93	Professional		$96.79	$139.28	$203.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $95.66 / $974.00	Professional		$95.66	$95.66	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $172.72 / $172.72	Facility		$172.72	$172.72	$172.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $147.54 / $264.69	Professional		$102.23	$147.54	$264.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $170.15 / $202.56	Professional		$152.77	$170.15	$202.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.33 / $141.19 / $215.98	Facility		$98.33	$141.19	$215.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $193.00 / $274.00	Professional		$154.00	$193.00	$274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.84 / $131.55 / $1,098.00	Facility		$96.84	$131.55	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $180.83 / $1,098.00	Professional		$134.47	$180.83	$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 $112.29 / $151.66 / $257.99	Professional		$112.29	$151.66	$257.99