Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $2,561.00 / $8,294.00	Facility		$90.19	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $144.52 / $218.84	Professional		$85.47	$144.52	$218.84
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 $78.70 / $127.62 / $195.27	Professional		$78.70	$127.62	$195.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $126.68 / $2,413.00	Professional		$88.41	$126.68	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $146.46 / $273.94	Professional		$89.47	$146.46	$273.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $154.60 / $190.67	Professional		$128.83	$154.60	$190.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $150.52 / $264.47	Facility		$90.19	$150.52	$264.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $186.72 / $272.00	Professional		$129.00	$186.72	$272.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $114.00 / $1,171.00	Facility		$83.92	$114.00	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $193.96 / $1,171.00	Professional		$136.00	$193.96	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $196.04 / $289.89	Professional		$114.58	$196.04	$289.89