Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.27 / $4,196.00 / $8,070.45	Facility		$363.27	$4,196.00	$8,070.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $236.28 / $452.65	Professional		$202.40	$236.28	$452.65
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 $199.45 / $255.06 / $360.55	Professional		$199.45	$255.06	$360.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.49 / $233.03 / $474.28	Professional		$232.49	$233.03	$474.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $988.00 / $1,568.92	Facility		$242.90	$988.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $274.05 / $468.36	Professional		$206.45	$274.05	$468.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $258.13 / $364.00	Professional		$206.50	$258.13	$364.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $279.27 / $414.02	Facility		$217.08	$279.27	$414.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $293.00 / $506.86	Professional		$259.00	$293.00	$506.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $212.46 / $263.27 / $493.74	Facility		$212.46	$263.27	$493.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.46 / $263.27 / $493.74	Professional		$212.46	$263.27	$493.74
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 $162.66 / $253.92 / $395.02	Professional		$162.66	$253.92	$395.02