Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,096.48 / $1,096.48	Facility		$93.33	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $831.76 / $1,412.54	Professional		$67.61	$831.76	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,737.80	Facility		$1,621.81	$1,621.81	$1,737.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $173.78	Professional		$83.18	$83.18	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,122.02	Professional		$851.14	$851.14	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,137.96	Professional		$1,230.27	$1,621.81	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $977.24 / $1,905.46	Facility		$100.00	$977.24	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $2,398.83	Facility		$114.82	$162.18	$2,398.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $2,398.83	Professional		$114.82	$162.18	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $2,344.23	Facility		$56.23	$81.28	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $134.90	Professional		$72.44	$75.86	$134.90