Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $2,004.00 / $8,294.00	Facility		$130.22	$2,004.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $153.61 / $260.69	Professional		$106.99	$153.61	$260.69
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 $107.25 / $137.16 / $226.76	Professional		$107.25	$137.16	$226.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $124.13 / $822.00	Professional		$123.50	$124.13	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.98 / $197.98 / $640.00	Facility		$197.98	$197.98	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $171.71 / $304.85	Professional		$122.70	$171.71	$304.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $198.33 / $234.39	Professional		$153.26	$198.33	$234.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $177.41 / $272.44	Facility		$130.22	$177.41	$272.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $210.17 / $309.39	Professional		$184.00	$210.17	$309.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.11 / $154.86 / $780.00	Facility		$115.11	$154.86	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $202.17 / $780.00	Professional		$154.19	$202.17	$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 $125.61 / $196.26 / $296.98	Professional		$125.61	$196.26	$296.98