Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.51 / $1,346.00 / $8,229.78	Facility		$105.51	$1,346.00	$8,229.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $111.71 / $211.89	Professional		$62.07	$111.71	$211.89
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 $59.52 / $93.12 / $141.38	Professional		$59.52	$93.12	$141.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $80.58 / $974.00	Professional		$80.58	$80.58	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $107.46 / $107.46	Facility		$107.46	$107.46	$107.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $10.75 / $10.75 / $10.75	Facility	AS	$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $121.23 / $207.35	Professional		$65.02	$121.23	$207.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $117.27 / $139.61	Professional		$105.11	$117.27	$139.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $110.31 / $194.14	Facility		$63.31	$110.31	$194.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $8.23 / $16.01 / $23.10	Facility	AS	$8.23	$16.01	$23.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $177.00 / $268.00	Professional		$144.79	$177.00	$268.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $95.36 / $1,098.00	Facility		$66.19	$95.36	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $153.93 / $1,098.00	Professional		$105.52	$153.93	$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 $85.46 / $123.80 / $207.15	Professional		$85.46	$123.80	$207.15