Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $1,912.00 / $5,743.00	Facility		$118.10	$1,912.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $118.74 / $209.73	Professional		$79.11	$118.74	$209.73
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 $74.68 / $95.50 / $130.97	Professional		$74.68	$95.50	$130.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $154.69 / $301.19	Professional		$94.77	$154.69	$301.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $1,265.00 / $7,650.00	Facility		$116.00	$1,265.00	$7,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $138.28 / $225.46	Professional		$90.25	$138.28	$225.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $133.03 / $164.07	Professional		$110.86	$133.03	$164.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $137.65 / $224.88	Facility		$89.74	$137.65	$224.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $179.00 / $249.00	Professional		$152.00	$179.00	$249.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.41 / $109.08 / $1,171.00	Facility		$83.41	$109.08	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $166.47 / $1,171.00	Professional		$118.54	$166.47	$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 $98.73 / $177.09 / $262.94	Professional		$98.73	$177.09	$262.94