Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $2,004.00 / $8,920.00	Facility		$74.73	$2,004.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $90.21 / $164.68	Professional		$59.86	$90.21	$164.68
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 $64.55 / $99.33 / $146.41	Professional		$64.55	$99.33	$146.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $115.32 / $2,315.00	Professional		$75.83	$115.32	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $108.42 / $182.48	Professional		$70.15	$108.42	$182.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $117.47 / $144.88	Professional		$97.89	$117.47	$144.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $103.32 / $162.49	Facility		$74.73	$103.32	$162.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $126.00 / $193.00	Professional		$111.00	$126.00	$193.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $88.88 / $1,171.00	Facility		$66.33	$88.88	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $122.81 / $1,171.00	Professional		$89.46	$122.81	$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 $77.02 / $123.70 / $207.16	Professional		$77.02	$123.70	$207.16