Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $3,633.00 / $8,294.00	Facility		$137.94	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $187.15 / $288.05	Professional		$107.43	$187.15	$288.05
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 $107.90 / $196.92 / $297.98	Professional		$107.90	$196.92	$297.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $716.12 / $1,102.23 / $1,181.44	Professional		$716.12	$1,102.23	$1,181.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $222.98 / $269.39	Professional		$150.86	$222.98	$269.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.40 / $215.52 / $433.30	Facility		$116.40	$215.52	$433.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $269.00 / $399.00	Professional		$251.00	$269.00	$399.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $157.80 / $819.00	Facility		$122.61	$157.80	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $323.86 / $982.00	Professional		$256.64	$323.86	$982.00
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 $198.83 / $355.33 / $529.41	Professional		$198.83	$355.33	$529.41