Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $3,633.00 / $8,920.00	Facility		$112.74	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $182.91 / $258.76	Professional		$96.54	$182.91	$258.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $189.07 / $303.11	Professional		$96.25	$189.07	$303.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $108.82 / $217.64	Professional		$106.82	$108.82	$217.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.83 / $184.91 / $610.00	Facility		$141.83	$184.91	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $222.26 / $390.31	Professional		$107.12	$222.26	$390.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $250.55 / $513.03	Professional		$202.83	$250.55	$513.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $217.08 / $365.72	Facility		$111.97	$217.08	$365.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.42 / $294.00 / $512.00	Professional		$250.42	$294.00	$512.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $101.23 / $126.54 / $236.15	Facility		$101.23	$126.54	$236.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $270.49 / $504.70	Professional		$216.60	$270.49	$504.70
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $277.72 / $427.92	Professional		$175.54	$277.72	$427.92