Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $1,938.00 / $8,294.00	Facility		$102.49	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $118.59 / $211.36	Professional		$81.70	$118.59	$211.36
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 $88.59 / $128.41 / $191.93	Professional		$88.59	$128.41	$191.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $158.21 / $974.00	Professional		$104.31	$158.21	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $144.54 / $250.11	Professional		$100.78	$144.54	$250.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $151.88 / $187.32	Professional		$126.57	$151.88	$187.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $141.07 / $201.80	Facility		$102.49	$141.07	$201.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $167.00 / $248.00	Professional		$146.00	$167.00	$248.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.01 / $120.75 / $805.00	Facility		$92.01	$120.75	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $160.09 / $805.00	Professional		$120.07	$160.09	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,350.00	Facility		$296.00	$1,045.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $160.84 / $270.68	Professional		$101.47	$160.84	$270.68