Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.67 / $2,541.83 / $8,582.00	Facility		$287.67	$2,541.83	$8,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $235.39 / $345.93	Professional		$148.13	$235.39	$345.93
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 $144.44 / $184.71 / $305.38	Professional		$144.44	$184.71	$305.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $176.32 / $2,635.00	Professional		$173.74	$176.32	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $261.94 / $420.00	Facility		$261.94	$261.94	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $265.47 / $481.63	Professional		$159.66	$265.47	$481.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.20 / $326.37 / $385.71	Professional		$252.20	$326.37	$385.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $287.67 / $436.32	Facility		$162.90	$287.67	$436.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $365.00 / $485.00	Professional		$311.00	$365.00	$485.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $200.38 / $1,285.00	Facility		$150.22	$200.38	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $330.20 / $1,285.00	Professional		$228.49	$330.20	$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 $182.26 / $299.16 / $508.24	Professional		$182.26	$299.16	$508.24