Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.99 / $2,998.00 / $8,294.00	Facility		$141.99	$2,998.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $203.40 / $321.22	Professional		$130.12	$203.40	$321.22
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 $117.89 / $185.90 / $275.17	Professional		$117.89	$185.90	$275.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $218.49 / $974.00	Professional		$151.72	$218.49	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $223.13 / $375.66	Professional		$141.41	$223.13	$375.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.72 / $224.06 / $276.35	Professional		$186.72	$224.06	$276.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.96 / $223.27 / $354.28	Facility		$141.96	$223.27	$354.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $279.55 / $423.00	Professional		$219.00	$279.55	$423.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.32 / $177.90 / $819.00	Facility		$131.32	$177.90	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $274.92 / $819.00	Professional		$212.43	$274.92	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.35 / $280.95 / $410.56	Professional		$164.35	$280.95	$410.56