Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.70 / $1,397.00 / $5,412.00	Facility		$189.70	$1,397.00	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $189.70 / $340.51	Professional		$132.90	$189.70	$340.51
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 $134.24 / $191.67 / $290.44	Professional		$134.24	$191.67	$290.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $148.19 / $297.86	Professional		$145.00	$148.19	$297.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $229.43 / $610.00	Facility		$125.70	$229.43	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $214.05 / $369.02	Professional		$144.03	$214.05	$369.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $228.68 / $375.48	Professional		$182.94	$228.68	$375.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $222.09 / $340.53	Facility		$151.85	$222.09	$340.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $268.77 / $360.00	Professional		$229.50	$268.77	$360.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $174.22 / $315.49	Facility		$137.18	$174.22	$315.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.05 / $236.59 / $453.14	Professional		$191.05	$236.59	$453.14
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 $148.16 / $224.27 / $352.01	Professional		$148.16	$224.27	$352.01