Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.88 / $3,226.00 / $8,294.00	Facility		$160.88	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $190.89 / $262.51	Professional		$132.26	$190.89	$262.51
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 $130.11 / $199.87 / $294.45	Professional		$130.11	$199.87	$294.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $153.07 / $974.00	Professional		$141.69	$153.07	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.91 / $231.91 / $231.91	Facility		$231.91	$231.91	$231.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $204.87 / $377.46	Professional		$139.63	$204.87	$377.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $244.85 / $291.49	Professional		$219.86	$244.85	$291.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $197.45 / $294.43	Facility		$130.83	$197.45	$294.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $293.00 / $392.00	Professional		$243.00	$293.00	$392.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $185.42 / $1,098.00	Facility		$131.56	$185.42	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $256.14 / $1,098.00	Professional		$183.83	$256.14	$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 $158.38 / $211.74 / $369.81	Professional		$158.38	$211.74	$369.81