Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.17 / $1,938.00 / $8,294.00	Facility		$260.17	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $228.22 / $335.14	Professional		$159.43	$228.22	$335.14
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 $163.37 / $232.73 / $353.30	Professional		$163.37	$232.73	$353.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $195.12 / $392.19	Professional		$188.38	$195.12	$392.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $279.22 / $610.00	Facility		$146.41	$279.22	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $259.64 / $443.05	Professional		$175.74	$259.64	$443.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.81 / $278.56 / $411.15	Professional		$221.81	$278.56	$411.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.11 / $269.70 / $413.67	Facility		$184.11	$269.70	$413.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.88 / $329.00 / $439.00	Professional		$280.88	$329.00	$439.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $209.39 / $384.95	Facility		$167.38	$209.39	$384.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $232.71 / $289.62 / $550.44	Professional		$232.71	$289.62	$550.44
United Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,441.00 / $5,226.00	Facility		$504.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $279.95 / $447.89	Professional		$181.17	$279.95	$447.89