Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.91 / $3,226.00 / $8,294.00	Facility		$122.91	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $153.36 / $243.01	Professional		$100.62	$153.36	$243.01
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 $99.96 / $154.76 / $234.26	Professional		$99.96	$154.76	$234.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $117.94 / $974.00	Professional		$108.16	$117.94	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $162.10 / $288.08	Professional		$107.55	$162.10	$288.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $195.64 / $232.90	Professional		$175.09	$195.64	$232.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $152.32 / $224.93	Facility		$99.05	$152.32	$224.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $230.00 / $312.00	Professional		$192.00	$230.00	$312.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $142.66 / $1,098.00	Facility		$101.11	$142.66	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $200.50 / $1,098.00	Professional		$144.06	$200.50	$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 $124.50 / $166.39 / $289.52	Professional		$124.50	$166.39	$289.52