Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $2,516.00 / $8,294.00	Facility		$82.32	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $109.19 / $196.03	Professional		$48.21	$109.19	$196.03
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 $47.23 / $102.11 / $181.82	Professional		$47.23	$102.11	$181.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $112.70	Professional		$56.07	$56.07	$112.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $125.97 / $610.00	Facility		$82.34	$125.97	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $107.89 / $232.78	Professional		$49.21	$107.89	$232.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $153.75 / $313.92	Professional		$123.00	$153.75	$313.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $105.73 / $210.10	Facility		$52.42	$105.73	$210.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $161.00 / $239.00	Professional		$111.98	$161.00	$239.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $64.50 / $114.11	Facility		$35.11	$64.50	$114.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $151.44 / $295.33	Professional		$90.71	$151.44	$295.33
United Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $1,605.26 / $3,499.00	Facility		$254.00	$1,605.26	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.54 / $131.94 / $236.30	Professional		$85.54	$131.94	$236.30