Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $2,004.00 / $8,294.00	Facility		$96.25	$2,004.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $113.39 / $200.14	Professional		$77.15	$113.39	$200.14
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 $82.99 / $120.79 / $180.95	Professional		$82.99	$120.79	$180.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $150.13 / $974.00	Professional		$97.71	$150.13	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $138.24 / $235.83	Professional		$94.27	$138.24	$235.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $142.91 / $176.25	Professional		$119.09	$142.91	$176.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $132.88 / $188.99	Facility		$96.25	$132.88	$188.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $159.00 / $234.00	Professional		$139.00	$159.00	$234.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $114.45 / $805.00	Facility		$86.97	$114.45	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $151.91 / $805.00	Professional		$114.97	$151.91	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $150.86 / $257.38	Professional		$94.25	$150.86	$257.38