Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $2,582.00 / $8,294.00	Facility		$128.41	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $153.06 / $268.30	Professional		$106.73	$153.06	$268.30
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 $111.97 / $162.33 / $242.53	Professional		$111.97	$162.33	$242.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $200.65 / $974.00	Professional		$131.69	$200.65	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $183.09 / $315.12	Professional		$126.49	$183.09	$315.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $190.82 / $235.35	Professional		$159.02	$190.82	$235.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $179.20 / $256.54	Facility		$128.41	$179.20	$256.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $211.00 / $313.00	Professional		$183.00	$211.00	$313.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $152.88 / $805.00	Facility		$117.67	$152.88	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $202.91 / $805.00	Professional		$149.22	$202.91	$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 $130.47 / $207.68 / $347.48	Professional		$130.47	$207.68	$347.48