Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.15 / $4,891.00 / $8,294.00	Facility		$336.15	$4,891.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $210.94 / $264.11	Professional		$182.84	$210.94	$264.11
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 $180.88 / $233.05 / $329.43	Professional		$180.88	$233.05	$329.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.98 / $213.46 / $434.56	Professional		$211.98	$213.46	$434.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $925.00 / $1,568.92	Facility		$221.71	$925.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $249.29 / $434.79	Professional		$188.42	$249.29	$434.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.52 / $235.65 / $331.94	Professional		$188.52	$235.65	$331.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $250.72 / $374.77	Facility		$198.84	$250.72	$374.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $267.00 / $463.25	Professional		$235.00	$267.00	$463.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.49 / $239.22 / $448.14	Facility		$195.49	$239.22	$448.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $239.22 / $448.14	Professional		$195.49	$239.22	$448.14
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 $150.43 / $233.88 / $364.64	Professional		$150.43	$233.88	$364.64