Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $2,840.00 / $8,294.00	Facility		$138.55	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $167.35 / $305.29	Professional		$113.88	$167.35	$305.29
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 $112.33 / $172.07 / $253.39	Professional		$112.33	$172.07	$253.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $132.36 / $974.00	Professional		$122.34	$132.36	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.21 / $200.21 / $200.21	Facility		$200.21	$200.21	$200.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $176.25 / $322.73	Professional		$120.72	$176.25	$322.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $210.76 / $250.90	Professional		$189.08	$210.76	$250.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $169.36 / $253.55	Facility		$111.18	$169.36	$253.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $251.00 / $337.00	Professional		$209.00	$251.00	$337.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.57 / $160.36 / $1,098.00	Facility		$113.57	$160.36	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $218.16 / $1,098.00	Professional		$157.50	$218.16	$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 $134.59 / $182.61 / $324.58	Professional		$134.59	$182.61	$324.58