Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.47 / $3,633.00 / $8,920.00	Facility		$139.47	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $139.47 / $243.42	Professional		$107.16	$139.47	$243.42
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 $121.45 / $158.77 / $262.49	Professional		$121.45	$158.77	$262.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $142.46 / $940.00	Professional		$128.34	$142.46	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $150.62 / $640.00	Facility		$150.62	$150.62	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $164.25 / $285.42	Professional		$123.63	$164.25	$285.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $163.33 / $187.97	Professional		$127.01	$163.33	$187.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $163.18 / $236.07	Facility		$130.78	$163.18	$236.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $168.93 / $249.00	Professional		$146.00	$168.93	$249.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.02 / $163.66 / $612.95	Facility		$127.02	$163.66	$612.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $163.66 / $612.95	Professional		$127.02	$163.66	$612.95
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 $102.24 / $163.95 / $255.42	Professional		$102.24	$163.95	$255.42