Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $3,226.00 / $8,294.00	Facility		$170.48	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $213.77 / $284.20	Professional		$139.83	$213.77	$284.20
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 $139.97 / $217.37 / $340.34	Professional		$139.97	$217.37	$340.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $169.33 / $340.35	Professional		$160.13	$169.33	$340.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $235.34 / $610.00	Facility		$151.97	$235.34	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $251.01 / $430.00	Professional		$156.47	$251.01	$430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.90 / $266.27 / $418.14	Professional		$212.90	$266.27	$418.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.97 / $261.69 / $409.52	Facility		$161.97	$261.69	$409.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $329.00 / $434.00	Professional		$284.00	$329.00	$434.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $193.47 / $333.07	Facility		$149.35	$193.47	$333.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $296.30 / $552.44	Professional		$234.88	$296.30	$552.44
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 $187.06 / $286.95 / $457.68	Professional		$187.06	$286.95	$457.68