Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.55 / $4,390.00 / $8,920.00	Facility		$191.55	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $206.94 / $273.38	Professional		$156.52	$206.94	$273.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $221.96 / $341.44	Professional		$156.93	$221.96	$341.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.84 / $175.81 / $1,729.50	Professional		$173.84	$175.81	$1,729.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $925.00 / $3,282.37	Facility		$270.70	$925.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $238.63 / $431.92	Professional		$162.04	$238.63	$431.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.41 / $267.64 / $376.61	Professional		$213.41	$267.64	$376.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $256.45 / $390.93	Facility		$181.00	$256.45	$390.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $293.00 / $421.00	Professional		$247.00	$293.00	$421.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $159.84 / $195.82 / $376.09	Facility		$159.84	$195.82	$376.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $206.56 / $264.58 / $533.80	Professional		$206.56	$264.58	$533.80
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 $163.03 / $243.76 / $420.38	Professional		$163.03	$243.76	$420.38