Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $4,771.00 / $9,539.00	Facility		$131.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $129.66 / $158.55	Professional		$112.02	$129.66	$158.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $132.05 / $186.66	Professional		$104.84	$132.05	$186.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $146.26 / $285.20	Professional		$122.96	$146.26	$285.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $526.00 / $925.00	Facility		$129.34	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $162.01 / $262.80	Professional		$114.71	$162.01	$262.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $125.86 / $219.39	Professional		$104.55	$125.86	$219.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $161.57 / $223.91	Facility		$119.87	$161.57	$223.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $162.00 / $257.42	Professional		$146.00	$162.00	$257.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $158.75 / $273.58	Facility		$121.09	$158.75	$273.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $158.75 / $273.58	Professional		$121.09	$158.75	$273.58
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $152.51 / $234.91	Professional		$97.30	$152.51	$234.91