Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.90 / $3,633.00 / $8,294.00	Facility		$197.90	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $253.42 / $336.94	Professional		$169.36	$253.42	$336.94
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 $161.34 / $240.31 / $375.45	Professional		$161.34	$240.31	$375.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $178.06 / $357.90	Professional		$172.70	$178.06	$357.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.66 / $271.49 / $610.00	Facility		$169.66	$271.49	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $279.45 / $467.09	Professional		$183.41	$279.45	$467.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $300.52 / $476.85	Professional		$239.96	$300.52	$476.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $304.61 / $447.70	Facility		$192.34	$304.61	$447.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $375.00 / $493.00	Professional		$316.00	$375.00	$493.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $225.81 / $393.95	Facility		$177.84	$225.81	$393.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.74 / $328.09 / $617.70	Professional		$246.74	$328.09	$617.70
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 $204.38 / $298.00 / $512.57	Professional		$204.38	$298.00	$512.57