Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $1,938.00 / $8,294.00	Facility		$113.67	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $141.59 / $242.86	Professional		$99.22	$141.59	$242.86
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 $99.78 / $146.74 / $220.09	Professional		$99.78	$146.74	$220.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $181.41 / $974.00	Professional		$117.25	$181.41	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $167.15 / $281.76	Professional		$114.19	$167.15	$281.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $172.50 / $212.75	Professional		$143.75	$172.50	$212.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $162.58 / $235.18	Facility		$113.67	$162.58	$235.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $194.00 / $285.00	Professional		$166.00	$194.00	$285.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.21 / $137.30 / $805.00	Facility		$105.21	$137.30	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.82 / $183.97 / $805.00	Professional		$133.82	$183.97	$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 $112.34 / $186.66 / $310.36	Professional		$112.34	$186.66	$310.36