Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $1,938.00 / $8,294.00	Facility		$101.00	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $134.41 / $263.58	Professional		$79.73	$134.41	$263.58
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 $83.17 / $137.44 / $209.06	Professional		$83.17	$137.44	$209.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $98.37 / $974.00	Professional		$89.91	$98.37	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.05 / $148.05 / $148.05	Facility		$148.05	$148.05	$148.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $143.00 / $238.60	Professional		$87.42	$143.00	$238.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $174.87 / $208.18	Professional		$155.87	$174.87	$208.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $132.31 / $197.34	Facility		$81.34	$132.31	$197.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $203.00 / $278.00	Professional		$170.00	$203.00	$278.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $117.31 / $1,098.00	Facility		$83.56	$117.31	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $180.03 / $1,098.00	Professional		$118.14	$180.03	$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 $106.83 / $144.80 / $264.92	Professional		$106.83	$144.80	$264.92