Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $3,226.00 / $8,294.00	Facility		$111.15	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $134.53 / $190.47	Professional		$90.95	$134.53	$190.47
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 $91.07 / $140.99 / $210.92	Professional		$91.07	$140.99	$210.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $107.60 / $974.00	Professional		$97.93	$107.60	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $162.78 / $162.78	Facility		$162.78	$162.78	$162.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $146.31 / $261.81	Professional		$95.55	$146.31	$261.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $176.58 / $210.21	Professional		$157.83	$176.58	$210.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $137.41 / $203.58	Facility		$89.26	$137.41	$203.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $211.00 / $281.00	Professional		$177.00	$211.00	$281.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.49 / $124.97 / $1,082.00	Facility		$91.49	$124.97	$1,082.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $183.12 / $1,082.00	Professional		$128.38	$183.12	$1,082.00
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 $112.82 / $150.41 / $269.20	Professional		$112.82	$150.41	$269.20