Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.98 / $3,645.00 / $8,294.00	Facility		$169.98	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $151.12 / $194.66	Professional		$136.55	$151.12	$194.66
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 $138.29 / $180.78 / $247.93	Professional		$138.29	$180.78	$247.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $133.18 / $2,413.00	Professional		$133.18	$133.18	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $177.77 / $177.77	Facility		$177.77	$177.77	$177.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $215.54 / $376.08	Professional		$146.88	$215.54	$376.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $171.11 / $203.70	Professional		$154.81	$171.11	$203.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.30 / $179.26 / $404.80	Facility		$143.30	$179.26	$404.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $226.10 / $386.00	Professional		$194.00	$226.10	$386.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $231.43 / $1,098.00	Facility		$159.25	$231.43	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $231.43 / $1,098.00	Professional		$159.25	$231.43	$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 $129.34 / $219.52 / $356.02	Professional		$129.34	$219.52	$356.02