Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $2,582.00 / $8,294.00	Facility		$94.34	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $128.57 / $237.26	Professional		$76.64	$128.57	$237.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.32 / $55.32 / $72.58	Professional	52	$38.32	$55.32	$72.58
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 $79.65 / $123.30 / $187.12	Professional		$79.65	$123.30	$187.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $95.15 / $974.00	Professional		$86.30	$95.15	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $140.41 / $140.41	Facility		$140.41	$140.41	$140.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $128.86 / $224.19	Professional		$81.83	$128.86	$224.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $157.01 / $186.91	Professional		$139.50	$157.01	$186.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.17 / $119.24 / $178.15	Facility		$77.17	$119.24	$178.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $185.00 / $249.00	Professional		$156.00	$185.00	$249.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $104.72 / $1,098.00	Facility		$74.62	$104.72	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $162.13 / $1,098.00	Professional		$109.37	$162.13	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $926.62 / $2,364.00	Facility		$296.00	$926.62	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $134.37 / $232.37	Professional		$99.79	$134.37	$232.37