Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $2,516.00 / $8,294.00	Facility		$139.12	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.85 / $157.02 / $261.54	Professional		$109.85	$157.02	$261.54
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 $115.43 / $160.34 / $239.53	Professional		$115.43	$160.34	$239.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $137.62 / $276.62	Professional		$134.22	$137.62	$276.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.53 / $197.86 / $610.00	Facility		$101.53	$197.86	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $177.65 / $308.02	Professional		$121.10	$177.65	$308.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $188.09 / $283.77	Professional		$150.19	$188.09	$283.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.48 / $185.52 / $280.00	Facility		$124.48	$185.52	$280.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $223.00 / $297.00	Professional		$192.00	$223.00	$297.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $145.55 / $267.29	Facility		$115.19	$145.55	$267.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $198.74 / $372.80	Professional		$159.74	$198.74	$372.80
United Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $1,560.00 / $3,499.00	Facility		$311.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $189.59 / $306.61	Professional		$123.05	$189.59	$306.61