Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $3,226.00 / $8,294.00	Facility		$98.84	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $148.49 / $201.46	Professional		$91.52	$148.49	$201.46
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 $85.13 / $153.32 / $232.01	Professional		$85.13	$153.32	$232.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $149.44 / $2,413.00	Professional		$99.68	$149.44	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $155.29 / $279.43	Professional		$94.72	$155.29	$279.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $190.70 / $235.20	Professional		$158.91	$190.70	$235.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $161.47 / $266.39	Facility		$98.84	$161.47	$266.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $193.00 / $282.00	Professional		$145.00	$193.00	$282.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $118.27 / $1,171.00	Facility		$87.48	$118.27	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $198.50 / $1,171.00	Professional		$127.49	$198.50	$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 $121.84 / $192.45 / $302.82	Professional		$121.84	$192.45	$302.82