Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.13 / $3,226.00 / $8,294.00	Facility		$240.13	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $280.20 / $436.51	Professional		$194.22	$280.20	$436.51
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 $199.32 / $327.70 / $510.60	Professional		$199.32	$327.70	$510.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.68 / $190.76 / $383.43	Professional		$171.68	$190.76	$383.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.48 / $341.74 / $610.00	Facility		$255.48	$341.74	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $329.13 / $603.14	Professional		$199.40	$329.13	$603.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $422.31 / $601.35	Professional		$337.85	$422.31	$601.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $331.38 / $540.45	Facility		$198.67	$331.38	$540.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $420.00 / $638.00	Professional		$338.00	$420.00	$638.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.49 / $237.43 / $465.73	Facility		$188.49	$237.43	$465.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $381.43 / $819.66	Professional		$282.41	$381.43	$819.66
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 $244.26 / $363.13 / $622.01	Professional		$244.26	$363.13	$622.01