Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $2,576.00 / $7,275.00	Facility		$140.18	$2,576.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $134.56 / $252.97	Professional		$75.50	$134.56	$252.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $139.19 / $212.12	Professional		$79.58	$139.19	$212.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $92.17 / $3,426.00	Professional		$92.17	$92.17	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $142.97 / $142.97	Facility		$142.97	$142.97	$142.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $148.13 / $234.00	Professional		$84.48	$148.13	$234.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $178.77 / $212.83	Professional		$159.94	$178.77	$212.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $137.71 / $209.04	Facility		$80.51	$137.71	$209.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $192.91 / $289.00	Professional		$173.00	$192.91	$289.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $117.45 / $3,123.00	Facility		$84.88	$117.45	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $196.13 / $3,123.00	Professional		$148.16	$196.13	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $158.36 / $268.31	Professional		$122.55	$158.36	$268.31