Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.68 / $3,645.00 / $8,294.00	Facility		$192.68	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $185.39 / $317.51	Professional		$153.81	$185.39	$317.51
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 $155.72 / $203.57 / $279.19	Professional		$155.72	$203.57	$279.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $150.54 / $916.00	Professional		$150.54	$150.54	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $200.30 / $200.30	Facility		$200.30	$200.30	$200.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $244.33 / $443.55	Professional		$165.96	$244.33	$443.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.29 / $193.75 / $230.65	Professional		$175.29	$193.75	$230.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $202.94 / $432.27	Facility		$162.22	$202.94	$432.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $265.00 / $467.00	Professional		$220.00	$265.00	$467.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.53 / $265.49 / $1,098.00	Facility		$180.53	$265.49	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $265.49 / $1,098.00	Professional		$180.53	$265.49	$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 $152.19 / $259.07 / $413.73	Professional		$152.19	$259.07	$413.73