Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $3,226.00 / $8,920.00	Facility		$107.21	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $155.51 / $304.94	Professional		$97.05	$155.51	$304.94
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 $92.21 / $144.27 / $228.19	Professional		$92.21	$144.27	$228.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $81.06 / $162.94	Professional		$81.06	$81.06	$162.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $526.00 / $1,035.00	Facility		$158.83	$526.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $170.98 / $331.95	Professional		$100.71	$170.98	$331.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $169.60 / $247.22	Professional		$140.09	$169.60	$247.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.87 / $162.53 / $254.04	Facility		$105.87	$162.53	$254.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $193.00 / $334.00	Professional		$169.00	$193.00	$334.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $126.79 / $228.96	Facility		$95.92	$126.79	$228.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.53 / $193.46 / $359.97	Professional		$146.53	$193.46	$359.97
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 $117.24 / $176.81 / $278.16	Professional		$117.24	$176.81	$278.16