Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.54 / $1,938.00 / $6,827.70	Facility		$186.54	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $169.92 / $242.26	Professional		$131.63	$169.92	$242.26
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 $122.00 / $156.02 / $257.94	Professional		$122.00	$156.02	$257.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $148.99 / $2,012.00	Professional		$144.29	$148.99	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $420.00	Facility		$223.58	$223.58	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $196.74 / $342.09	Professional		$136.16	$196.74	$342.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $212.54 / $250.81	Professional		$166.05	$212.54	$250.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.88 / $204.00 / $317.01	Facility		$147.88	$204.00	$317.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $249.00 / $326.00	Professional		$217.00	$249.00	$326.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $172.37 / $1,285.00	Facility		$130.86	$172.37	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $218.82 / $1,285.00	Professional		$162.94	$218.82	$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 $136.75 / $214.51 / $346.60	Professional		$136.75	$214.51	$346.60