Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $1,938.00 / $7,219.00	Facility		$112.21	$1,938.00	$7,219.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $106.34 / $175.18	Professional		$75.28	$106.34	$175.18
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 $69.45 / $88.82 / $121.81	Professional		$69.45	$88.82	$121.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $122.54 / $2,315.00	Professional		$85.10	$122.54	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $132.61 / $215.74	Professional		$85.47	$132.61	$215.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $125.33 / $154.57	Professional		$104.44	$125.33	$154.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $127.22 / $196.19	Facility		$89.13	$127.22	$196.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $160.00 / $218.00	Professional		$140.00	$160.00	$218.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.19 / $106.00 / $1,171.00	Facility		$80.19	$106.00	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $148.56 / $1,171.00	Professional		$112.60	$148.56	$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 $91.81 / $158.91 / $243.15	Professional		$91.81	$158.91	$243.15