Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.94 / $1,938.00 / $6,827.70	Facility		$228.94	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $205.97 / $369.84	Professional		$108.29	$205.97	$369.84
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 $107.91 / $196.02 / $304.45	Professional		$107.91	$196.02	$304.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $122.17 / $400.85	Professional		$120.66	$122.17	$400.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $610.00 / $739.63	Facility		$181.76	$610.00	$739.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $213.01 / $389.55	Professional		$117.46	$213.01	$389.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.89 / $252.36 / $360.38	Professional		$201.89	$252.36	$360.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $219.08 / $362.32	Facility		$121.69	$219.08	$362.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $285.00 / $405.00	Professional		$243.00	$285.00	$405.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.82 / $142.07 / $256.54	Facility		$110.82	$142.07	$256.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $259.27 / $495.83	Professional		$194.60	$259.27	$495.83
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,774.00 / $5,226.00	Facility		$490.00	$2,774.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $240.35 / $405.86	Professional		$166.45	$240.35	$405.86