Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.71 / $3,226.00 / $8,294.00	Facility		$152.71	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $177.84 / $238.25	Professional		$119.31	$177.84	$238.25
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 $124.08 / $192.09 / $291.18	Professional		$124.08	$192.09	$291.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $146.03 / $974.00	Professional		$134.97	$146.03	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.72 / $221.72 / $221.72	Facility		$221.72	$221.72	$221.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $202.71 / $360.35	Professional		$133.47	$202.71	$360.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.69 / $242.93 / $289.20	Professional		$217.69	$242.93	$289.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.91 / $189.18 / $280.95	Facility		$124.91	$189.18	$280.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $288.00 / $388.00	Professional		$241.00	$288.00	$388.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $176.30 / $1,098.00	Facility		$125.45	$176.30	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.07 / $251.79 / $1,098.00	Professional		$181.07	$251.79	$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 $155.93 / $213.33 / $364.80	Professional		$155.93	$213.33	$364.80