Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $4,032.00 / $8,920.00	Facility		$20.00	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $160.21 / $287.27	Professional		$20.00	$160.21	$287.27
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 $120.39 / $149.51 / $210.95	Professional		$120.39	$149.51	$210.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $450.43 / $916.00	Professional		$450.43	$450.43	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $307.64 / $307.64	Facility		$307.64	$307.64	$307.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.93 / $1,396.93 / $1,396.93	Professional		$1,396.93	$1,396.93	$1,396.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $282.68 / $336.53	Professional		$254.60	$282.68	$336.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $114.17 / $260.39	Facility		$20.00	$114.17	$260.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $296.00 / $501.00	Professional		$252.17	$296.00	$501.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.11 / $241.65 / $1,098.00	Facility		$175.11	$241.65	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.11 / $241.65 / $1,098.00	Professional		$175.11	$241.65	$1,098.00
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 $153.77 / $198.99 / $324.33	Professional		$153.77	$198.99	$324.33