Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $1,938.00 / $8,294.00	Facility		$129.18	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $165.56 / $317.74	Professional		$102.57	$165.56	$317.74
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 $105.36 / $165.33 / $251.06	Professional		$105.36	$165.33	$251.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $123.88 / $974.00	Professional		$114.26	$123.88	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $186.61 / $186.61	Facility		$186.61	$186.61	$186.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $173.16 / $305.66	Professional		$112.68	$173.16	$305.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $208.99 / $248.80	Professional		$187.06	$208.99	$248.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $162.36 / $240.57	Facility		$103.82	$162.36	$240.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $247.00 / $334.00	Professional		$206.00	$247.00	$334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $149.29 / $1,098.00	Facility		$106.08	$149.29	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $216.85 / $1,098.00	Professional		$150.78	$216.85	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $833.00 / $2,375.00	Facility		$231.00	$833.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $179.23 / $312.95	Professional		$132.32	$179.23	$312.95