Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.43 / $3,633.00 / $8,920.00	Facility		$143.43	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $143.43 / $208.55	Professional		$117.85	$143.43	$208.55
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 $113.40 / $145.02 / $217.54	Professional		$113.40	$145.02	$217.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $143.66 / $294.52	Professional		$129.30	$143.66	$294.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $610.00	Facility		$142.06	$142.06	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $164.22 / $287.74	Professional		$121.67	$164.22	$287.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $138.07 / $216.18	Professional		$112.17	$138.07	$216.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $169.51 / $262.48	Facility		$131.54	$169.51	$262.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $180.00 / $261.80	Professional		$154.00	$180.00	$261.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.09 / $166.15 / $303.55	Facility		$125.09	$166.15	$303.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $166.15 / $303.55	Professional		$125.09	$166.15	$303.55
United Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $696.00 / $2,350.00	Facility		$109.00	$696.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $145.47 / $235.79	Professional		$103.65	$145.47	$235.79