Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.10 / $3,226.00 / $8,294.00	Facility		$142.10	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $162.41 / $260.85	Professional		$111.37	$162.41	$260.85
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 $115.19 / $178.33 / $265.52	Professional		$115.19	$178.33	$265.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $135.69 / $974.00	Professional		$125.53	$135.69	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.76 / $204.76 / $204.76	Facility		$204.76	$204.76	$204.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $184.83 / $333.01	Professional		$123.46	$184.83	$333.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.87 / $220.66 / $262.69	Professional		$197.87	$220.66	$262.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $177.20 / $260.04	Facility		$113.88	$177.20	$260.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $262.00 / $353.00	Professional		$218.00	$262.00	$353.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.22 / $164.31 / $1,098.00	Facility		$116.22	$164.31	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $228.51 / $1,098.00	Professional		$164.94	$228.51	$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 $142.27 / $192.00 / $331.10	Professional		$142.27	$192.00	$331.10