Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $790.17 / $5,743.00	Facility		$175.00	$790.17	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $241.00 / $423.50	Professional		$145.11	$241.00	$423.50
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 $144.90 / $239.74 / $376.26	Professional		$144.90	$239.74	$376.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $160.47 / $322.56	Professional		$158.78	$160.47	$322.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.05 / $244.35 / $610.00	Facility		$186.05	$244.35	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $258.42 / $457.99	Professional		$155.99	$258.42	$457.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $306.14 / $446.16	Professional		$244.91	$306.14	$446.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $274.30 / $435.66	Facility		$163.19	$274.30	$435.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $345.46 / $488.00	Professional		$292.00	$345.46	$488.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $191.45 / $341.69	Facility		$152.33	$191.45	$341.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $309.38 / $601.98	Professional		$232.01	$309.38	$601.98
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $284.08 / $486.69	Professional		$194.67	$284.08	$486.69