Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.72 / $3,226.00 / $8,294.00	Facility		$144.72	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $195.80 / $273.64	Professional		$118.44	$195.80	$273.64
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 $120.86 / $201.68 / $317.45	Professional		$120.86	$201.68	$317.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $113.57 / $228.28	Professional		$113.57	$113.57	$228.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.12 / $212.67 / $610.00	Facility		$163.12	$212.67	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $220.96 / $397.89	Professional		$131.40	$220.96	$397.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $260.14 / $371.48	Professional		$208.12	$260.14	$371.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.05 / $230.98 / $376.49	Facility		$138.05	$230.98	$376.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $290.00 / $413.00	Professional		$245.00	$290.00	$413.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.49 / $161.11 / $278.23	Facility		$124.49	$161.11	$278.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $264.81 / $514.49	Professional		$199.02	$264.81	$514.49
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 $166.07 / $241.47 / $399.68	Professional		$166.07	$241.47	$399.68