Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $2,582.00 / $8,294.00	Facility		$124.86	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $124.86 / $228.03	Professional		$94.23	$124.86	$228.03
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 $109.34 / $152.11 / $224.22	Professional		$109.34	$152.11	$224.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $181.63 / $2,315.00	Professional		$132.54	$181.63	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.60 / $147.43 / $277.25	Professional		$103.60	$147.43	$277.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $174.37 / $215.06	Professional		$145.31	$174.37	$215.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $140.16 / $208.86	Facility		$107.66	$140.16	$208.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $145.00 / $246.00	Professional		$126.00	$145.00	$246.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $128.62 / $1,171.00	Facility		$97.69	$128.62	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $161.51 / $1,171.00	Professional		$107.50	$161.51	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $150.77 / $252.21	Professional		$99.88	$150.77	$252.21