Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.19 / $2,516.00 / $8,294.00	Facility		$112.19	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.73 / $128.16 / $200.14	Professional		$92.73	$128.16	$200.14
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 $91.58 / $117.11 / $193.61	Professional		$91.58	$117.11	$193.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $87.47 / $822.00	Professional		$87.47	$87.47	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $168.47 / $168.47	Facility		$168.47	$168.47	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.83 / $149.44 / $262.17	Professional		$103.83	$149.44	$262.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $171.18 / $202.31	Professional		$132.50	$171.18	$202.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $152.19 / $243.79	Facility		$103.58	$152.19	$243.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $191.00 / $248.00	Professional		$169.00	$191.00	$248.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.81 / $128.82 / $628.38	Facility		$94.81	$128.82	$628.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $172.25 / $641.60	Professional		$124.27	$172.25	$641.60
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 $106.78 / $172.26 / $272.42	Professional		$106.78	$172.26	$272.42