Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $3,633.00 / $9,539.00	Facility		$125.54	$3,633.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $137.44 / $172.45	Professional		$106.44	$137.44	$172.45
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 $105.67 / $152.63 / $224.46	Professional		$105.67	$152.63	$224.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $106.02 / $974.00	Professional		$106.02	$106.02	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.18 / $190.18 / $190.18	Facility		$190.18	$190.18	$190.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $167.12 / $291.02	Professional		$112.41	$167.12	$291.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.93 / $188.40 / $224.29	Professional		$168.93	$188.40	$224.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.74 / $154.52 / $229.74	Facility		$106.74	$154.52	$229.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $232.00 / $312.00	Professional		$195.00	$232.00	$312.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $149.74 / $1,098.00	Facility		$107.66	$149.74	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.77 / $208.47 / $1,098.00	Professional		$158.77	$208.47	$1,098.00
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 $124.61 / $174.08 / $283.61	Professional		$124.61	$174.08	$283.61