Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.89 / $2,840.00 / $8,294.00	Facility		$199.89	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $212.69 / $382.42	Professional		$160.59	$212.69	$382.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $233.37 / $338.00	Professional		$171.36	$233.37	$338.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $193.32 / $3,026.00	Professional		$173.91	$193.32	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.31 / $302.31 / $302.31	Facility		$302.31	$302.31	$302.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $237.96 / $420.40	Professional		$176.70	$237.96	$420.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.69 / $267.54 / $318.50	Professional		$239.69	$267.54	$318.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $232.69 / $340.89	Facility		$168.00	$232.69	$340.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $314.00 / $442.00	Professional		$276.00	$314.00	$442.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.82 / $222.81 / $2,156.00	Facility		$172.82	$222.81	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $278.86 / $2,156.00	Professional		$203.33	$278.86	$2,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $234.98 / $413.14	Professional		$166.78	$234.98	$413.14