Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.97 / $2,049.21 / $5,412.00	Facility		$102.97	$2,049.21	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $160.41 / $328.50	Professional		$56.10	$160.41	$328.50
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 $56.45 / $159.33 / $332.15	Professional		$56.45	$159.33	$332.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.43 / $2,012.00	Professional		$62.37	$62.43	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $96.71 / $420.00	Facility		$96.71	$96.71	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $160.04 / $401.87	Professional		$59.27	$160.04	$401.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $265.75 / $314.07	Professional		$205.35	$265.75	$314.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $172.47 / $416.00	Facility		$61.32	$172.47	$416.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $340.00 / $438.00	Professional		$291.00	$340.00	$438.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $78.98 / $1,285.00	Facility		$55.19	$78.98	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $210.82 / $319.02 / $1,285.00	Professional		$210.82	$319.02	$1,285.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $309.44 / $471.22	Professional		$189.75	$309.44	$471.22