Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.15 / $3,226.00 / $8,294.00	Facility		$131.15	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $146.68 / $226.21	Professional		$105.68	$146.68	$226.21
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 $108.59 / $148.82 / $220.36	Professional		$108.59	$148.82	$220.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $129.94 / $261.20	Professional		$125.87	$129.94	$261.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $185.16 / $610.00	Facility		$93.35	$185.16	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $169.31 / $294.81	Professional		$116.39	$169.31	$294.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $173.38 / $264.27	Professional		$138.07	$173.38	$264.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $176.33 / $262.77	Facility		$122.84	$176.33	$262.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $212.00 / $273.00	Professional		$179.81	$212.00	$273.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.85 / $140.13 / $254.93	Facility		$110.85	$140.13	$254.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $187.61 / $347.60	Professional		$150.84	$187.61	$347.60
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 $115.60 / $176.16 / $290.86	Professional		$115.60	$176.16	$290.86