Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $1,938.00 / $5,743.00	Facility		$149.60	$1,938.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $148.25 / $305.08	Professional		$69.29	$148.25	$305.08
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 $84.63 / $203.59 / $351.42	Professional		$84.63	$203.59	$351.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $90.95 / $2,012.00	Professional		$76.43	$90.95	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $420.00	Facility		$147.60	$147.60	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $191.31 / $371.76	Professional		$83.92	$191.31	$371.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.63 / $280.35 / $331.32	Professional		$216.63	$280.35	$331.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $187.60 / $343.31	Facility		$82.21	$187.60	$343.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $246.00 / $415.57	Professional		$208.00	$246.00	$415.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $109.60 / $1,152.94	Facility		$81.29	$109.60	$1,152.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $272.24 / $1,171.00	Professional		$182.68	$272.24	$1,171.00
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 $174.70 / $276.97 / $469.16	Professional		$174.70	$276.97	$469.16