Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.33 / $3,633.00 / $8,920.00	Facility		$194.33	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $194.33 / $300.08	Professional		$114.31	$194.33	$300.08
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 $151.22 / $194.51 / $296.54	Professional		$151.22	$194.51	$296.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $193.57 / $396.82	Professional		$174.21	$193.57	$396.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $610.00	Facility		$193.75	$193.75	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $183.70 / $343.26	Professional		$122.00	$183.70	$343.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $185.79 / $293.72	Professional		$150.40	$185.79	$293.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $204.85 / $328.42	Facility		$146.00	$204.85	$328.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $231.36 / $287.00	Professional		$149.00	$231.36	$287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.19 / $176.72 / $410.68	Facility		$120.19	$176.72	$410.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $180.28 / $410.68	Professional		$121.52	$180.28	$410.68
United Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $761.99 / $2,350.00	Facility		$181.00	$761.99	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $166.13 / $308.81	Professional		$114.70	$166.13	$308.81