Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.18 / $3,226.00 / $8,294.00	Facility		$241.18	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $241.18 / $386.37	Professional		$180.55	$241.18	$386.37
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 $186.77 / $292.58 / $460.11	Professional		$186.77	$292.58	$460.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $195.33 / $392.61	Professional		$175.80	$195.33	$392.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.28 / $320.00 / $610.00	Facility		$248.28	$320.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $289.31 / $530.52	Professional		$174.86	$289.31	$530.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.36 / $360.45 / $515.61	Professional		$288.36	$360.45	$515.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $301.61 / $500.94	Facility		$184.95	$301.61	$500.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $344.00 / $550.13	Professional		$284.00	$344.00	$550.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $229.93 / $450.51	Facility		$160.61	$229.93	$450.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.69 / $340.01 / $702.28	Professional		$188.69	$340.01	$702.28
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 $181.55 / $302.27 / $568.57	Professional		$181.55	$302.27	$568.57