Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $1,409.69 / $6,827.70	Facility		$157.47	$1,409.69	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $172.08 / $311.33	Professional		$92.63	$172.08	$311.33
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 $90.08 / $160.54 / $244.65	Professional		$90.08	$160.54	$244.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $83.25 / $1,013.00	Professional		$83.25	$83.25	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $162.44	Facility		$162.44	$162.44	$162.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $185.59 / $304.16	Professional		$95.83	$185.59	$304.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $205.62 / $244.79	Professional		$184.00	$205.62	$244.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $167.27 / $293.27	Facility		$92.63	$167.27	$293.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $238.74 / $344.00	Professional		$199.00	$238.74	$344.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $142.69 / $1,098.00	Facility		$99.57	$142.69	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $246.55 / $1,098.00	Professional		$173.95	$246.55	$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 $140.90 / $191.37 / $321.41	Professional		$140.90	$191.37	$321.41