Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $3,226.00 / $8,294.00	Facility		$80.33	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $159.36 / $195.17	Professional		$67.44	$159.36	$195.17
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 $67.59 / $138.38 / $234.58	Professional		$67.59	$138.38	$234.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $74.81	Professional		$65.05	$65.05	$74.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $170.89 / $239.05	Facility		$92.23	$170.89	$239.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $149.83 / $325.02	Professional		$66.59	$149.83	$325.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $178.84 / $212.90	Professional		$158.50	$178.84	$212.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $147.00 / $248.62	Facility		$68.28	$147.00	$248.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $244.00 / $341.00	Professional		$199.00	$244.00	$341.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $91.46 / $203.20	Facility		$69.13	$91.46	$203.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $210.28 / $420.25	Professional		$144.10	$210.28	$420.25
United Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $182.25 / $316.54	Professional		$130.44	$182.25	$316.54