Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $3,226.00 / $8,294.00	Facility		$119.68	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.54 / $184.34 / $327.55	Professional		$105.54	$184.34	$327.55
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 $88.59 / $154.77 / $232.01	Professional		$88.59	$154.77	$232.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $148.47 / $974.00	Professional		$101.91	$148.47	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $172.93 / $300.70	Professional		$105.56	$172.93	$300.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $192.46 / $237.54	Professional		$160.38	$192.46	$237.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $196.68 / $295.83	Facility		$114.35	$196.68	$295.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $254.00 / $387.00	Professional		$210.60	$254.00	$387.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $130.66 / $805.00	Facility		$91.30	$130.66	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $232.79 / $805.00	Professional		$160.38	$232.79	$805.00
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 $129.88 / $205.39 / $342.58	Professional		$129.88	$205.39	$342.58