Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.93 / $2,012.00 / $6,827.70	Facility		$157.93	$2,012.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $133.26 / $316.43	Professional		$85.58	$133.26	$316.43
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 $85.30 / $169.92 / $355.12	Professional		$85.30	$169.92	$355.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $97.63 / $382.49	Professional		$91.13	$97.63	$382.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $610.00 / $712.16	Facility		$148.10	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $155.46 / $372.48	Professional		$91.94	$155.46	$372.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.78 / $286.88 / $525.00	Professional		$231.78	$286.88	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.37 / $157.93 / $330.04	Facility		$94.37	$157.93	$330.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $187.00 / $338.00	Professional		$155.00	$187.00	$338.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $111.65 / $202.17	Facility		$87.91	$111.65	$202.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $189.16 / $505.34	Professional		$129.37	$189.16	$505.34
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $149.82 / $266.08	Professional		$96.35	$149.82	$266.08