Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.46 / $3,633.00 / $8,920.00	Facility		$122.46	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $122.46 / $138.91	Professional		$100.86	$122.46	$138.91
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 $100.49 / $128.51 / $176.25	Professional		$100.49	$128.51	$176.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $189.35 / $916.00	Professional		$131.49	$189.35	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $143.55 / $274.19	Professional		$103.91	$143.55	$274.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $121.66 / $150.33	Professional		$101.38	$121.66	$150.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $144.72 / $203.31	Facility		$112.78	$144.72	$203.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $153.94 / $209.00	Professional		$105.00	$153.94	$209.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $142.05 / $1,171.00	Facility		$105.78	$142.05	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $142.05 / $1,171.00	Professional		$107.50	$142.05	$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 $89.22 / $138.01 / $232.84	Professional		$89.22	$138.01	$232.84