Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $3,226.00 / $8,294.00	Facility		$79.45	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $88.25 / $146.44	Professional		$60.79	$88.25	$146.44
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 $67.28 / $96.00 / $140.46	Professional		$67.28	$96.00	$140.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $79.72 / $974.00	Professional		$74.03	$79.72	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $118.94 / $118.94	Facility		$118.94	$118.94	$118.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $99.11 / $176.13	Professional		$70.15	$99.11	$176.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $116.97 / $139.25	Professional		$104.84	$116.97	$139.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $94.07 / $138.55	Facility		$64.93	$94.07	$138.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $134.00 / $187.00	Professional		$117.00	$134.00	$187.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $91.76 / $1,098.00	Facility		$63.97	$91.76	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $119.73 / $1,098.00	Professional		$93.05	$119.73	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $99.19 / $170.55	Professional		$73.52	$99.19	$170.55