Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.45 / $3,633.00 / $8,294.00	Facility		$114.45	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $291.58 / $868.53	Professional		$87.97	$291.58	$868.53
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 $89.60 / $344.80 / $953.33	Professional		$89.60	$344.80	$953.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $97.55 / $572.67	Professional		$92.68	$97.55	$572.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $158.18 / $610.00	Facility		$158.18	$158.18	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $237.31 / $1,121.16	Professional		$96.09	$237.31	$1,121.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.22 / $783.22 / $978.48	Professional		$626.22	$783.22	$978.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $278.45 / $1,116.11	Facility		$108.36	$278.45	$1,116.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.00 / $785.00 / $1,241.00	Professional		$603.00	$785.00	$1,241.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $123.63 / $228.81	Facility		$94.19	$123.63	$228.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $532.53 / $770.06 / $1,593.17	Professional		$532.53	$770.06	$1,593.17
United Facility/Professional Facility Modifier Low / Median / High Price $503.00 / $2,819.00 / $5,301.00	Facility		$503.00	$2,819.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.77 / $745.78 / $1,273.35	Professional		$481.77	$745.78	$1,273.35