Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $3,226.00 / $8,294.00	Facility		$109.49	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $145.43 / $210.22	Professional		$87.68	$145.43	$210.22
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 $90.25 / $152.41 / $242.39	Professional		$90.25	$152.41	$242.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $107.13 / $215.33	Professional		$104.45	$107.13	$215.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.81 / $161.41 / $610.00	Facility		$123.81	$161.41	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $161.85 / $306.33	Professional		$96.35	$161.85	$306.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $199.84 / $284.10	Professional		$159.87	$199.84	$284.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $169.71 / $274.86	Facility		$100.93	$169.71	$274.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $208.78 / $312.80	Professional		$174.00	$208.78	$312.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $115.96 / $209.31	Facility		$91.83	$115.96	$209.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $192.82 / $368.01	Professional		$144.15	$192.82	$368.01
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $172.63 / $302.76	Professional		$119.30	$172.63	$302.76