Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.99 / $3,633.00 / $8,920.00	Facility		$123.99	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $123.99 / $146.97	Professional		$109.12	$123.99	$146.97
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 $106.03 / $135.59 / $185.96	Professional		$106.03	$135.59	$185.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $180.00 / $916.00	Professional		$125.00	$180.00	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $146.53 / $290.38	Professional		$107.44	$146.53	$290.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $127.96 / $158.00	Professional		$106.63	$127.96	$158.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $150.49 / $211.31	Facility		$118.46	$150.49	$211.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $161.00 / $261.41	Professional		$138.34	$161.00	$261.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $142.50 / $1,171.00	Facility		$107.04	$142.50	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $142.50 / $1,171.00	Professional		$107.04	$142.50	$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 $93.08 / $142.65 / $244.83	Professional		$93.08	$142.65	$244.83