Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $2,896.68 / $8,294.00	Facility		$110.31	$2,896.68	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $129.13 / $221.35	Professional		$88.86	$129.13	$221.35
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 $93.42 / $119.47 / $165.89	Professional		$93.42	$119.47	$165.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $232.91 / $1,013.00	Professional		$114.20	$232.91	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.31 / $170.31 / $170.31	Facility		$170.31	$170.31	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $139.40 / $241.30	Professional		$97.23	$139.40	$241.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $142.97 / $182.20	Professional		$121.52	$142.97	$182.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $139.18 / $211.07	Facility		$97.33	$139.18	$211.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $176.00 / $238.99	Professional		$156.00	$176.00	$238.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.96 / $126.57 / $1,263.41	Facility		$90.96	$126.57	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $157.69 / $1,263.41	Professional		$117.55	$157.69	$1,263.41
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $126.05 / $216.21	Professional		$90.84	$126.05	$216.21