Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.29 / $1,346.00 / $8,294.00	Facility		$122.29	$1,346.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $151.88 / $258.24	Professional		$102.32	$151.88	$258.24
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 $107.03 / $155.85 / $233.47	Professional		$107.03	$155.85	$233.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $194.18 / $974.00	Professional		$125.74	$194.18	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $176.93 / $304.62	Professional		$120.98	$176.93	$304.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $184.00 / $226.93	Professional		$153.33	$184.00	$226.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.29 / $174.19 / $249.64	Facility		$122.29	$174.19	$249.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $206.00 / $302.00	Professional		$176.00	$206.00	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.74 / $147.86 / $805.00	Facility		$113.74	$147.86	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $195.61 / $805.00	Professional		$141.94	$195.61	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $828.00 / $2,364.00	Facility		$206.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $194.28 / $330.00	Professional		$119.55	$194.28	$330.00