Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $1,719.00 / $5,743.00	Facility		$155.63	$1,719.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $174.77 / $301.69	Professional		$82.75	$174.77	$301.69
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 $82.68 / $108.08 / $180.42	Professional		$82.68	$108.08	$180.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $89.62 / $2,012.00	Professional		$89.62	$89.62	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $159.31 / $420.00	Facility		$159.31	$159.31	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $180.09 / $317.57	Professional		$90.58	$180.09	$317.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $230.34 / $272.22	Professional		$177.99	$230.34	$272.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.02 / $176.09 / $345.10	Facility		$94.02	$176.09	$345.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $271.00 / $337.00	Professional		$240.00	$271.00	$337.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $112.95 / $852.18	Facility		$85.99	$112.95	$852.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $253.82 / $870.11	Professional		$177.63	$253.82	$870.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,870.00 / $3,880.00	Facility		$1,066.00	$1,870.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.94 / $236.96 / $378.90	Professional		$148.94	$236.96	$378.90