Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.11 / $3,116.00 / $7,275.00	Facility		$255.11	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $226.52 / $393.82	Professional		$159.58	$226.52	$393.82
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 $166.93 / $231.84 / $351.78	Professional		$166.93	$231.84	$351.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $179.42 / $820.31	Professional		$179.31	$179.42	$820.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $610.00 / $1,568.92	Facility		$282.58	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.05 / $256.14 / $434.70	Professional		$176.05	$256.14	$434.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $278.16 / $403.12	Professional		$221.44	$278.16	$403.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $272.60 / $412.14	Facility		$182.79	$272.60	$412.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $323.00 / $436.00	Professional		$276.00	$323.00	$436.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.67 / $217.37 / $385.64	Facility		$167.67	$217.37	$385.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $289.74 / $542.07	Professional		$234.42	$289.74	$542.07
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.73 / $439.18	Professional		$181.97	$275.73	$439.18