Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.04 / $3,226.00 / $8,920.00	Facility		$180.04	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $242.49 / $312.08	Professional		$150.97	$242.49	$312.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $190.21 / $314.47	Professional		$145.51	$190.21	$314.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $141.04 / $822.00	Professional		$141.04	$141.04	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $272.82	Facility		$272.82	$272.82	$272.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $271.26 / $489.21	Professional		$166.50	$271.26	$489.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.52 / $359.15 / $424.45	Professional		$277.52	$359.15	$424.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.80 / $284.19 / $443.56	Facility		$177.80	$284.19	$443.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $346.00 / $493.00	Professional		$272.00	$346.00	$493.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $201.01 / $805.00	Facility		$147.81	$201.01	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $328.03 / $819.00	Professional		$237.19	$328.03	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $307.89 / $506.92	Professional		$193.88	$307.89	$506.92