Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.96 / $3,226.00 / $8,294.00	Facility		$125.96	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $145.19 / $181.86	Professional		$105.69	$145.19	$181.86
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 $104.89 / $145.97 / $222.47	Professional		$104.89	$145.97	$222.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $116.06 / $233.28	Professional		$105.80	$116.06	$233.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $179.86 / $610.00	Facility		$96.30	$179.86	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $174.04 / $303.87	Professional		$114.52	$174.04	$303.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $176.55 / $284.54	Professional		$140.72	$176.55	$284.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $179.58 / $277.51	Facility		$119.48	$179.58	$277.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $226.00 / $294.00	Professional		$193.00	$226.00	$294.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.75 / $140.52 / $250.62	Facility		$109.75	$140.52	$250.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $196.46 / $357.97	Professional		$150.71	$196.46	$357.97
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $178.56 / $302.50	Professional		$122.45	$178.56	$302.50