Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.56 / $3,484.00 / $8,294.00	Facility		$189.56	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $125.18 / $198.48	Professional		$105.81	$125.18	$198.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $114.36 / $156.84	Professional		$89.42	$114.36	$156.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $183.02 / $974.00	Professional		$113.05	$183.02	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $153.63 / $285.75	Professional		$98.35	$153.63	$285.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $110.68 / $131.90	Professional		$92.23	$110.68	$131.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $132.69 / $204.06	Facility		$106.40	$132.69	$204.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $200.00 / $226.82	Professional		$131.46	$200.00	$226.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.81 / $150.22 / $1,621.00	Facility		$113.81	$150.22	$1,621.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $150.22 / $1,621.00	Professional		$113.81	$150.22	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $164.02 / $251.15	Professional		$95.86	$164.02	$251.15