Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.43 / $3,309.00 / $8,294.00	Facility		$160.43	$3,309.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $208.97 / $303.77	Professional		$132.26	$208.97	$303.77
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 $134.36 / $207.99 / $326.64	Professional		$134.36	$207.99	$326.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $146.84 / $295.14	Professional		$146.40	$146.84	$295.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $226.85 / $610.00	Facility		$150.34	$226.85	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $224.84 / $398.18	Professional		$143.40	$224.84	$398.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $257.80 / $380.86	Professional		$206.24	$257.80	$380.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $242.48 / $377.04	Facility		$155.69	$242.48	$377.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $301.00 / $407.00	Professional		$252.00	$301.00	$407.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $174.31 / $313.86	Facility		$138.74	$174.31	$313.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $265.87 / $512.95	Professional		$198.06	$265.87	$512.95
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,774.00 / $5,710.07	Facility		$500.00	$2,774.00	$5,710.07
United Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $239.44 / $416.16	Professional		$166.19	$239.44	$416.16