Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $3,633.00 / $8,920.00	Facility		$81.84	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $122.33 / $233.36	Professional		$67.94	$122.33	$233.36
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 $65.65 / $111.03 / $171.72	Professional		$65.65	$111.03	$171.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $78.51 / $974.00	Professional		$76.15	$78.51	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $117.78	Facility		$117.78	$117.78	$117.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $125.80 / $197.22	Professional		$71.95	$125.80	$197.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $142.47 / $169.61	Professional		$127.86	$142.47	$169.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $118.05 / $181.20	Facility		$69.56	$118.05	$181.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $180.44 / $259.00	Professional		$153.00	$180.44	$259.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $97.23 / $1,098.00	Facility		$69.06	$97.23	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $157.86 / $1,098.00	Professional		$116.22	$157.86	$1,098.00
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 $101.61 / $137.15 / $221.76	Professional		$101.61	$137.15	$221.76