Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $3,226.00 / $8,294.00	Facility		$128.63	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $154.66 / $215.91	Professional		$106.52	$154.66	$215.91
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 $107.27 / $168.19 / $264.48	Professional		$107.27	$168.19	$264.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $127.57 / $256.42	Professional		$122.08	$127.57	$256.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $115.96 / $183.19	Facility		$50.00	$115.96	$183.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $178.60 / $310.88	Professional		$115.94	$178.60	$310.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.03 / $209.75 / $294.77	Professional		$167.03	$209.75	$294.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.52 / $193.24 / $300.77	Facility		$125.52	$193.24	$300.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $229.00 / $329.00	Professional		$192.00	$229.00	$329.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $141.05 / $253.76	Facility		$111.22	$141.05	$253.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $211.72 / $420.07	Professional		$161.68	$211.72	$420.07
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 $133.07 / $193.38 / $328.13	Professional		$133.07	$193.38	$328.13