Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.24 / $661.22 / $3,633.00	Facility		$112.24	$661.22	$3,633.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $112.23 / $180.07	Professional		$80.00	$112.23	$180.07
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 $74.37 / $95.11 / $157.24	Professional		$74.37	$95.11	$157.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $105.59 / $1,757.00	Professional		$94.85	$105.59	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.08 / $134.08 / $420.00	Facility		$134.08	$134.08	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $132.65 / $216.77	Professional		$85.24	$132.65	$216.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $127.69 / $149.71	Professional		$99.76	$127.69	$149.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.56 / $119.65 / $200.50	Facility		$85.56	$119.65	$200.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $166.00 / $206.36	Professional		$144.72	$166.00	$206.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.05 / $110.48 / $473.65	Facility		$80.05	$110.48	$473.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $155.44 / $483.62	Professional		$104.96	$155.44	$483.62
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $136.41 / $208.22	Professional		$82.78	$136.41	$208.22