Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.13 / $3,633.00 / $8,920.00	Facility		$156.13	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $190.08 / $276.94	Professional		$137.37	$190.08	$276.94
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 $132.15 / $168.99 / $279.39	Professional		$132.15	$168.99	$279.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $135.11 / $2,635.00	Professional		$135.11	$135.11	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.10 / $243.10 / $420.00	Facility		$243.10	$243.10	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $231.65 / $397.74	Professional		$148.72	$231.65	$397.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $276.02 / $326.22	Professional		$213.30	$276.02	$326.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.57 / $235.48 / $368.61	Facility		$146.57	$235.48	$368.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $284.00 / $401.00	Professional		$256.00	$284.00	$401.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.03 / $182.69 / $1,013.09	Facility		$137.03	$182.69	$1,013.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $272.13 / $1,034.40	Professional		$198.70	$272.13	$1,034.40
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 $156.13 / $261.80 / $423.89	Professional		$156.13	$261.80	$423.89