Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.80 / $4,032.00 / $8,920.00	Facility		$196.80	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $196.80 / $368.13	Professional		$174.62	$196.80	$368.13
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 $149.05 / $190.61 / $315.13	Professional		$149.05	$190.61	$315.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $2,012.00	Professional		$100.78	$100.78	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $213.02 / $640.00	Facility		$213.02	$213.02	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $228.73 / $264.51	Professional		$178.72	$228.73	$264.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $214.66 / $329.62	Facility		$164.84	$214.66	$329.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $308.64 / $440.64	Professional		$243.39	$308.64	$440.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $234.01 / $1,632.00	Facility		$106.12	$234.01	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $238.04 / $1,632.00	Professional		$176.37	$238.04	$1,632.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $210.78 / $317.05	Professional		$140.52	$210.78	$317.05