Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.17 / $2,561.00 / $8,294.00	Facility		$210.17	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $210.12 / $260.38	Professional		$167.26	$210.12	$260.38
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 $180.68 / $236.19 / $390.49	Professional		$180.68	$236.19	$390.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.78 / $229.15 / $910.00	Professional		$207.78	$229.15	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $420.00	Facility		$225.06	$225.06	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $241.39 / $423.57	Professional		$180.66	$241.39	$423.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.60 / $247.24 / $292.19	Professional		$191.60	$247.24	$292.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $245.84 / $384.61	Facility		$196.23	$245.84	$384.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $263.00 / $374.85	Professional		$227.00	$263.00	$374.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.76 / $243.80 / $1,285.00	Facility		$180.76	$243.80	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.76 / $243.80 / $1,285.00	Professional		$180.76	$243.80	$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 $141.59 / $219.66 / $365.23	Professional		$141.59	$219.66	$365.23