Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $2,221.42 / $8,294.00	Facility		$127.47	$2,221.42	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $174.47 / $303.68	Professional		$105.07	$174.47	$303.68
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 $108.23 / $174.63 / $270.76	Professional		$108.23	$174.63	$270.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $127.03 / $255.33	Professional		$122.03	$127.03	$255.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $180.95 / $610.00	Facility		$130.69	$180.95	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $188.47 / $339.16	Professional		$114.68	$188.47	$339.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.42 / $221.78 / $313.79	Professional		$177.42	$221.78	$313.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $193.24 / $315.68	Facility		$120.14	$193.24	$315.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $239.00 / $350.00	Professional		$203.15	$239.00	$350.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $142.86 / $250.13	Facility		$109.81	$142.86	$250.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $219.00 / $415.23	Professional		$170.61	$219.00	$415.23
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 $138.18 / $208.98 / $336.15	Professional		$138.18	$208.98	$336.15