Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.40 / $2,705.00 / $7,837.78	Facility		$174.40	$2,705.00	$7,837.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $174.40 / $284.91	Professional		$131.19	$174.40	$284.91
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 $132.32 / $176.25 / $260.54	Professional		$132.32	$176.25	$260.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $239.50 / $2,315.00	Professional		$155.75	$239.50	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $201.06 / $366.85	Professional		$136.05	$201.06	$366.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $191.81 / $236.56	Professional		$159.84	$191.81	$236.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $194.19 / $284.91	Facility		$144.27	$194.19	$284.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $222.00 / $314.00	Professional		$189.00	$222.00	$314.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $180.31 / $805.00	Facility		$133.66	$180.31	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $208.01 / $805.00	Professional		$158.51	$208.01	$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 $134.41 / $207.07 / $349.86	Professional		$134.41	$207.07	$349.86