Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.13 / $3,226.00 / $8,294.00	Facility		$126.13	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $195.06 / $327.05	Professional		$83.93	$195.06	$327.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $115.15 / $188.47	Professional		$90.04	$115.15	$188.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.38 / $220.53 / $2,413.00	Professional		$111.38	$220.53	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $160.41 / $160.41	Facility		$160.41	$160.41	$160.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $212.40 / $403.22	Professional		$94.93	$212.40	$403.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.05 / $265.94 / $332.43	Professional		$226.05	$265.94	$332.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $193.37 / $413.25	Facility		$88.80	$193.37	$413.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $303.00 / $432.00	Professional		$272.00	$303.00	$432.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $120.36 / $3,440.00	Facility		$82.86	$120.36	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $296.64 / $3,440.00	Professional		$223.47	$296.64	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $241.97 / $424.56	Professional		$167.28	$241.97	$424.56