Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $2,840.00 / $8,294.00	Facility		$109.22	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $206.34 / $313.72	Professional		$95.65	$206.34	$313.72
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 $98.34 / $125.76 / $209.51	Professional		$98.34	$125.76	$209.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $117.97 / $2,012.00	Professional		$104.10	$117.97	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $640.00	Facility		$180.85	$180.85	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $228.64 / $432.16	Professional		$104.00	$228.64	$432.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $326.18 / $372.06	Professional		$252.05	$326.18	$372.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.22 / $247.60 / $428.12	Facility		$109.22	$247.60	$428.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $318.00 / $471.89	Professional		$277.00	$318.00	$471.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $133.82 / $1,157.52	Facility		$102.61	$133.82	$1,157.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $322.58 / $1,171.00	Professional		$251.40	$322.58	$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 $195.07 / $310.69 / $472.11	Professional		$195.07	$310.69	$472.11