Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.14 / $3,226.00 / $8,294.00	Facility		$101.14	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $277.82 / $418.79	Professional		$83.49	$277.82	$418.79
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 $85.95 / $242.26 / $487.47	Professional		$85.95	$242.26	$487.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $92.16 / $179.25	Professional		$89.18	$92.16	$179.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.35 / $172.55 / $610.00	Facility		$132.35	$172.55	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $246.02 / $584.65	Professional		$90.83	$246.02	$584.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $384.36 / $551.45	Professional		$307.49	$384.36	$551.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $329.26 / $587.04	Facility		$94.37	$329.26	$587.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $507.00 / $623.00	Professional		$202.27	$507.00	$623.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $112.38 / $202.02	Facility		$86.93	$112.38	$202.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $351.36 / $436.37 / $800.26	Professional		$351.36	$436.37	$800.26
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 $135.94 / $391.12 / $638.19	Professional		$135.94	$391.12	$638.19