Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.63 / $2,190.00 / $8,294.00	Facility		$198.63	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $163.85 / $208.26	Professional		$129.07	$163.85	$208.26
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 $132.34 / $179.16 / $266.47	Professional		$132.34	$179.16	$266.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $147.21 / $295.89	Professional		$140.51	$147.21	$295.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $320.00 / $610.00	Facility		$226.65	$320.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $194.65 / $357.45	Professional		$138.29	$194.65	$357.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $204.19 / $287.92	Professional		$162.38	$204.19	$287.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $199.26 / $304.58	Facility		$144.00	$199.26	$304.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.14 / $232.00 / $323.00	Professional		$197.14	$232.00	$323.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.28 / $163.37 / $313.72	Facility		$133.28	$163.37	$313.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $207.28 / $405.58	Professional		$165.51	$207.28	$405.58
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 $136.60 / $203.24 / $344.30	Professional		$136.60	$203.24	$344.30