Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.59 / $3,645.00 / $8,294.00	Facility		$224.59	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $135.21 / $186.49	Professional		$118.87	$135.21	$186.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $154.44 / $255.35	Professional		$119.37	$154.44	$255.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $134.60 / $2,012.00	Professional		$134.60	$134.60	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $572.00	Facility		$170.37	$170.37	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $167.12 / $296.08	Professional		$127.47	$167.12	$296.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $184.61 / $218.18	Professional		$142.66	$184.61	$218.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.21 / $170.03 / $251.62	Facility		$135.21	$170.03	$251.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $179.00 / $242.00	Professional		$161.00	$179.00	$242.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $166.11 / $1,285.00	Facility		$124.31	$166.11	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $166.11 / $1,285.00	Professional		$124.31	$166.11	$1,285.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $157.72 / $259.79	Professional		$97.76	$157.72	$259.79