Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $2,670.00 / $8,294.00	Facility		$229.70	$2,670.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $205.44 / $348.03	Professional		$133.03	$205.44	$348.03
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 $147.21 / $219.60 / $366.58	Professional		$147.21	$219.60	$366.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $177.02 / $1,757.00	Professional		$170.26	$177.02	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $420.00	Facility		$249.95	$249.95	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $226.29 / $403.44	Professional		$152.53	$226.29	$403.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $268.85 / $317.73	Professional		$207.76	$268.85	$317.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.51 / $229.70 / $375.25	Facility		$153.51	$229.70	$375.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $282.00 / $390.00	Professional		$252.00	$282.00	$390.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $142.85 / $191.89 / $985.85	Facility		$142.85	$191.89	$985.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $266.62 / $1,006.59	Professional		$203.33	$266.62	$1,006.59
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 $153.02 / $242.67 / $410.80	Professional		$153.02	$242.67	$410.80