Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.47 / $1,938.00 / $5,412.00	Facility		$225.47	$1,938.00	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $229.31 / $402.03	Professional		$103.09	$229.31	$402.03
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 $99.85 / $125.76 / $209.94	Professional		$99.85	$125.76	$209.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $122.74 / $2,012.00	Professional		$117.76	$122.74	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $640.00	Facility		$182.22	$182.22	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $235.81 / $446.62	Professional		$110.57	$235.81	$446.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.97 / $319.61 / $365.25	Professional		$246.97	$319.61	$365.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $253.28 / $427.61	Facility		$120.59	$253.28	$427.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $351.00 / $477.00	Professional		$307.00	$351.00	$477.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $146.84 / $1,171.00	Facility		$107.79	$146.84	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $253.82 / $336.59 / $1,171.00	Professional		$253.82	$336.59	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $303.20 / $506.51	Professional		$171.37	$303.20	$506.51