Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.36 / $3,484.00 / $8,294.00	Facility		$192.36	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $192.36 / $314.70	Professional		$95.98	$192.36	$314.70
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 $89.24 / $112.40 / $187.25	Professional		$89.24	$112.40	$187.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $123.07 / $2,012.00	Professional		$109.58	$123.07	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $640.00	Facility		$165.31	$165.31	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $248.81 / $473.25	Professional		$115.29	$248.81	$473.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $207.35 / $243.62	Professional		$161.99	$207.35	$243.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $265.38 / $423.34	Facility		$122.85	$265.38	$423.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $359.00 / $450.00	Professional		$256.67	$359.00	$450.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $209.81 / $1,291.00	Facility		$117.32	$209.81	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $312.32 / $1,291.00	Professional		$209.00	$312.32	$1,291.00
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 $207.68 / $327.45 / $546.34	Professional		$207.68	$327.45	$546.34