Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $1,938.00 / $8,294.00	Facility		$143.28	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $175.97 / $341.76	Professional		$113.18	$175.97	$341.76
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 $116.15 / $179.81 / $271.58	Professional		$116.15	$179.81	$271.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $136.80 / $974.00	Professional		$126.58	$136.80	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $206.47 / $206.47	Facility		$206.47	$206.47	$206.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $188.95 / $337.14	Professional		$124.49	$188.95	$337.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $226.23 / $269.33	Professional		$202.79	$226.23	$269.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.84 / $177.60 / $262.67	Facility		$114.84	$177.60	$262.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $270.00 / $362.00	Professional		$224.00	$270.00	$362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $165.20 / $1,098.00	Facility		$117.19	$165.20	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $233.91 / $1,098.00	Professional		$169.28	$233.91	$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 $145.80 / $196.69 / $340.45	Professional		$145.80	$196.69	$340.45