Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $2,582.00 / $10,767.00	Facility		$104.34	$2,582.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $136.02 / $259.11	Professional		$84.06	$136.02	$259.11
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 $87.90 / $136.08 / $203.93	Professional		$87.90	$136.08	$203.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $85.85 / $974.00	Professional		$85.85	$85.85	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $157.71 / $157.71	Facility		$157.71	$157.71	$157.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $145.22 / $257.41	Professional		$93.20	$145.22	$257.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $166.90 / $198.69	Professional		$150.38	$166.90	$198.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $136.71 / $210.94	Facility		$90.60	$136.71	$210.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $199.00 / $285.00	Professional		$176.00	$199.00	$285.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $93.71 / $127.00 / $2,220.13	Facility		$93.71	$127.00	$2,220.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $182.50 / $2,220.13	Professional		$139.49	$182.50	$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 $113.09 / $151.16 / $259.24	Professional		$113.09	$151.16	$259.24