Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $1,938.00 / $8,294.00	Facility		$180.89	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $240.16 / $281.35	Professional		$154.11	$240.16	$281.35
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 $150.28 / $192.18 / $317.73	Professional		$150.28	$192.18	$317.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $183.34 / $2,635.00	Professional		$176.12	$183.34	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $420.00	Facility		$273.77	$273.77	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $266.89 / $463.70	Professional		$170.08	$266.89	$463.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $310.97 / $367.51	Professional		$240.43	$310.97	$367.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.20 / $281.35 / $431.71	Facility		$177.20	$281.35	$431.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $354.00 / $467.00	Professional		$303.00	$354.00	$467.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.12 / $215.10 / $1,171.00	Facility		$160.12	$215.10	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $315.12 / $1,171.00	Professional		$244.91	$315.12	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,893.00 / $3,765.00	Facility		$921.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.54 / $300.54 / $552.87	Professional		$193.54	$300.54	$552.87