Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $2,670.00 / $7,275.00	Facility		$161.37	$2,670.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $147.18 / $262.11	Professional		$105.56	$147.18	$262.11
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 $105.99 / $151.18 / $221.18	Professional		$105.99	$151.18	$221.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $1,013.00	Professional		$120.36	$120.36	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.70 / $187.70 / $187.70	Facility		$187.70	$187.70	$187.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $163.69 / $278.62	Professional		$116.12	$163.69	$278.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $182.06 / $216.74	Professional		$163.31	$182.06	$216.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $151.79 / $219.84	Facility		$105.13	$151.79	$219.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $206.00 / $293.00	Professional		$182.00	$206.00	$293.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $147.99 / $1,098.00	Facility		$111.21	$147.99	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $190.35 / $1,098.00	Professional		$137.33	$190.35	$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 $118.83 / $158.43 / $280.92	Professional		$118.83	$158.43	$280.92