Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.98 / $2,516.00 / $8,294.00	Facility		$220.98	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $201.53 / $289.85	Professional		$113.12	$201.53	$289.85
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 $121.19 / $200.68 / $312.19	Professional		$121.19	$200.68	$312.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.33 / $135.74 / $783.82	Professional		$135.33	$135.74	$783.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $610.00 / $1,568.92	Facility		$204.52	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $213.96 / $377.23	Professional		$125.50	$213.96	$377.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.08 / $255.10 / $360.90	Professional		$204.08	$255.10	$360.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $220.98 / $361.00	Facility		$128.34	$220.98	$361.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $282.00 / $405.00	Professional		$242.00	$282.00	$405.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $119.76 / $148.53 / $271.39	Facility		$119.76	$148.53	$271.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $201.88 / $255.97 / $469.15	Professional		$201.88	$255.97	$469.15
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,774.00 / $5,710.07	Facility		$500.00	$2,774.00	$5,710.07
United Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $255.81 / $407.05	Professional		$161.28	$255.81	$407.05