Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $2,012.00 / $8,920.00	Facility		$157.46	$2,012.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $143.09 / $250.58	Professional		$99.57	$143.09	$250.58
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 $98.96 / $126.55 / $209.22	Professional		$98.96	$126.55	$209.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $124.01 / $1,757.00	Professional		$114.03	$124.01	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $181.52 / $640.00	Facility		$181.52	$181.52	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $161.63 / $289.70	Professional		$113.88	$161.63	$289.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $188.11 / $222.31	Professional		$145.44	$188.11	$222.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.70 / $167.21 / $254.88	Facility		$121.70	$167.21	$254.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $201.49 / $291.55	Professional		$176.00	$201.49	$291.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $143.60 / $780.00	Facility		$106.37	$143.60	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $189.90 / $780.00	Professional		$146.72	$189.90	$780.00
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 $119.42 / $170.68 / $275.45	Professional		$119.42	$170.68	$275.45