Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $1,938.00 / $8,294.00	Facility		$167.52	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $163.53 / $299.81	Professional		$100.43	$163.53	$299.81
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 $93.91 / $154.88 / $235.19	Professional		$93.91	$154.88	$235.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $110.78 / $974.00	Professional		$101.78	$110.78	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $165.91 / $165.91	Facility		$165.91	$165.91	$165.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $178.09 / $268.11	Professional		$100.35	$178.09	$268.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $196.01 / $233.35	Professional		$174.64	$196.01	$233.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $160.97 / $263.62	Facility		$94.46	$160.97	$263.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $231.12 / $335.00	Professional		$185.00	$231.12	$335.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $151.82 / $1,098.00	Facility		$99.84	$151.82	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.26 / $218.99 / $1,098.00	Professional		$160.26	$218.99	$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 $128.22 / $189.14 / $310.95	Professional		$128.22	$189.14	$310.95