Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.51 / $2,124.69 / $8,920.00	Facility		$200.51	$2,124.69	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $200.50 / $329.59	Professional		$102.68	$200.50	$329.59
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 $98.04 / $138.37 / $202.06	Professional		$98.04	$138.37	$202.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $974.00	Professional		$131.00	$131.00	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.53 / $176.53 / $176.53	Facility		$176.53	$176.53	$176.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $211.77 / $341.03	Professional		$107.19	$211.77	$341.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $163.02 / $194.08	Professional		$147.26	$163.02	$194.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $200.51 / $333.50	Facility		$104.73	$200.51	$333.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.51 / $284.00 / $414.00	Professional		$212.51	$284.00	$414.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $193.39 / $1,098.00	Facility		$112.34	$193.39	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $241.24 / $1,098.00	Professional		$156.44	$241.24	$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 $125.85 / $185.87 / $322.18	Professional		$125.85	$185.87	$322.18