Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $3,226.00 / $8,294.00	Facility		$81.98	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $99.09 / $183.56	Professional		$75.69	$99.09	$183.56
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 $70.29 / $138.38 / $222.00	Professional		$70.29	$138.38	$222.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $123.47 / $974.00	Professional		$82.23	$123.47	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $137.27 / $263.55	Professional		$78.05	$137.27	$263.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $182.86 / $225.52	Professional		$152.38	$182.86	$225.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $142.30 / $254.33	Facility		$81.98	$142.30	$254.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $166.27 / $265.00	Professional		$136.00	$166.27	$265.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $97.49 / $805.00	Facility		$71.97	$97.49	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $189.57 / $805.00	Professional		$119.43	$189.57	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $180.68 / $303.20	Professional		$114.91	$180.68	$303.20