Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $2,561.00 / $8,294.00	Facility		$96.17	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $96.17 / $113.53	Professional		$75.16	$96.17	$113.53
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 $72.83 / $93.14 / $127.74	Professional		$72.83	$93.14	$127.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $132.97 / $1,013.00	Professional		$92.35	$132.97	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $122.50 / $214.43	Professional		$81.23	$122.50	$214.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $91.78 / $113.19	Professional		$76.48	$91.78	$113.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $118.03 / $184.45	Facility		$81.73	$118.03	$184.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $144.00 / $186.10	Professional		$108.00	$144.00	$186.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $122.30 / $805.00	Facility		$91.44	$122.30	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $122.30 / $805.00	Professional		$91.44	$122.30	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $129.10 / $185.96	Professional		$73.84	$129.10	$185.96