Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.56 / $3,633.00 / $8,294.00	Facility		$130.56	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $176.27 / $264.74	Professional		$108.05	$176.27	$264.74
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 $110.43 / $175.04 / $273.08	Professional		$110.43	$175.04	$273.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $129.71 / $260.72	Professional		$125.37	$129.71	$260.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.69 / $186.01 / $610.00	Facility		$129.69	$186.01	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $188.69 / $339.48	Professional		$117.70	$188.69	$339.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.08 / $222.60 / $314.63	Professional		$178.08	$222.60	$314.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $196.33 / $312.16	Facility		$124.80	$196.33	$312.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $241.00 / $352.00	Professional		$201.00	$241.00	$352.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $141.53 / $255.69	Facility		$111.18	$141.53	$255.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $218.76 / $419.44	Professional		$169.75	$218.76	$419.44
United Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,441.00 / $5,226.00	Facility		$504.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $198.57 / $341.94	Professional		$136.69	$198.57	$341.94