Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $4,771.00 / $9,539.00	Facility		$119.78	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $119.78 / $147.26	Professional		$101.33	$119.78	$147.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.32 / $340.06 / $2,122.00	Facility		$218.32	$340.06	$2,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $124.19 / $177.00	Professional		$98.60	$124.19	$177.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $130.97 / $255.41	Professional		$122.04	$130.97	$255.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $526.00 / $925.00	Facility		$120.98	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $138.29 / $244.18	Professional		$103.45	$138.29	$244.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $123.31 / $182.34	Professional		$98.65	$123.31	$182.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $140.58 / $215.71	Facility		$110.99	$140.58	$215.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $152.82 / $242.26	Professional		$133.00	$152.82	$242.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $134.88 / $248.72	Facility		$108.15	$134.88	$248.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $134.88 / $248.72	Professional		$108.15	$134.88	$248.72
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 $83.56 / $126.00 / $209.56	Professional		$83.56	$126.00	$209.56