Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $2,561.00 / $8,294.00	Facility		$124.95	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $221.46 / $356.25	Professional		$121.36	$221.46	$356.25
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 $102.96 / $233.06 / $388.97	Professional		$102.96	$233.06	$388.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $192.36 / $916.00	Professional		$133.58	$192.36	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $270.23 / $529.23	Professional		$117.43	$270.23	$529.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $320.14 / $394.83	Professional		$266.77	$320.14	$394.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.95 / $272.92 / $528.24	Facility		$124.95	$272.92	$528.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $381.00 / $547.00	Professional		$321.00	$381.00	$547.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $147.22 / $819.00	Facility		$111.56	$147.22	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $386.16 / $982.00	Professional		$260.33	$386.16	$982.00
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 $232.23 / $397.52 / $612.17	Professional		$232.23	$397.52	$612.17