Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.05 / $2,840.00 / $8,294.00	Facility		$149.05	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $184.26 / $282.43	Professional		$124.95	$184.26	$282.43
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 $126.71 / $196.79 / $311.72	Professional		$126.71	$196.79	$311.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $148.84 / $299.17	Professional		$148.84	$148.84	$299.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $340.00 / $617.00	Facility		$213.62	$340.00	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $207.05 / $377.17	Professional		$134.41	$207.05	$377.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.79 / $243.75 / $339.36	Professional		$194.79	$243.75	$339.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.18 / $217.94 / $343.58	Facility		$138.18	$217.94	$343.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $256.00 / $387.00	Professional		$210.79	$256.00	$387.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $165.07 / $294.68	Facility		$128.69	$165.07	$294.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $236.01 / $478.00	Professional		$183.23	$236.01	$478.00
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 $152.13 / $223.40 / $371.32	Professional		$152.13	$223.40	$371.32