Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.21 / $3,226.00 / $8,920.00	Facility		$105.21	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $114.25 / $165.11	Professional		$84.95	$114.25	$165.11
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 $84.25 / $114.45 / $170.89	Professional		$84.25	$114.45	$170.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $103.80 / $208.64	Professional		$93.42	$103.80	$208.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $55.85 / $133.36	Facility		$50.00	$55.85	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.11 / $128.91 / $243.14	Professional		$87.11	$128.91	$243.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $118.30 / $185.43	Professional		$93.70	$118.30	$185.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $136.13 / $204.79	Facility		$89.43	$136.13	$204.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $162.00 / $227.00	Professional		$129.41	$162.00	$227.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $104.80 / $202.98	Facility		$85.77	$104.80	$202.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $145.15 / $278.99	Professional		$110.17	$145.15	$278.99
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 $89.46 / $133.38 / $241.60	Professional		$89.46	$133.38	$241.60