Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $1,088.00 / $7,275.00	Facility		$102.59	$1,088.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $125.50 / $203.20	Professional		$84.10	$125.50	$203.20
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 $89.90 / $124.54 / $183.11	Professional		$89.90	$124.54	$183.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $161.61 / $974.00	Professional		$106.46	$161.61	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $139.44 / $252.11	Professional		$95.40	$139.44	$252.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $144.06 / $177.67	Professional		$120.05	$144.06	$177.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $137.05 / $200.55	Facility		$102.59	$137.05	$200.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $154.00 / $237.00	Professional		$135.00	$154.00	$237.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.74 / $121.99 / $805.00	Facility		$91.74	$121.99	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $151.28 / $805.00	Professional		$113.36	$151.28	$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 $95.49 / $151.77 / $262.30	Professional		$95.49	$151.77	$262.30