Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $2,190.00 / $8,294.00	Facility		$276.64	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $238.56 / $310.64	Professional		$182.06	$238.56	$310.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $257.20 / $390.47	Professional		$185.75	$257.20	$390.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $202.69 / $395.25	Professional		$182.42	$202.69	$395.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $320.00 / $610.00	Facility		$276.48	$320.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $278.93 / $469.62	Professional		$194.65	$278.93	$469.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $301.51 / $431.48	Professional		$240.01	$301.51	$431.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.30 / $293.25 / $444.10	Facility		$206.30	$293.25	$444.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $348.00 / $477.00	Professional		$293.74	$348.00	$477.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.80 / $237.68 / $433.52	Facility		$188.80	$237.68	$433.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.42 / $305.70 / $595.16	Professional		$248.42	$305.70	$595.16
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $292.01 / $482.47	Professional		$192.11	$292.01	$482.47