Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $971.45 / $7,275.00	Facility		$195.29	$971.45	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $235.63 / $392.18	Professional		$127.73	$235.63	$392.18
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 $122.93 / $157.19 / $259.89	Professional		$122.93	$157.19	$259.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $149.52 / $1,757.00	Professional		$142.88	$149.52	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $224.98 / $420.00	Facility		$224.98	$224.98	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $248.07 / $461.78	Professional		$138.02	$248.07	$461.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $291.73 / $344.77	Professional		$225.99	$291.73	$344.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.05 / $261.04 / $433.69	Facility		$151.05	$261.04	$433.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $344.00 / $470.00	Professional		$305.00	$344.00	$470.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $175.15 / $780.00	Facility		$130.93	$175.15	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $309.79 / $1,171.00	Professional		$232.19	$309.79	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,870.00 / $3,880.00	Facility		$1,066.00	$1,870.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $295.95 / $497.66	Professional		$191.15	$295.95	$497.66