Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $3,633.00 / $8,920.00	Facility		$103.39	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.39 / $119.99 / $151.15	Professional		$103.39	$119.99	$151.15
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 $87.93 / $122.82 / $181.20	Professional		$87.93	$122.82	$181.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $159.19 / $974.00	Professional		$97.31	$159.19	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $155.60 / $263.89	Professional		$102.81	$155.60	$263.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $144.62 / $178.37	Professional		$120.52	$144.62	$178.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $154.57 / $231.47	Facility		$104.52	$154.57	$231.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $195.00 / $292.39	Professional		$160.00	$195.00	$292.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $130.13 / $1,171.00	Facility		$96.99	$130.13	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $177.98 / $1,171.00	Professional		$136.62	$177.98	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $185.29 / $275.49	Professional		$110.00	$185.29	$275.49