Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $3,226.00 / $8,920.00	Facility		$152.79	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $228.36 / $369.08	Professional		$129.69	$228.36	$369.08
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 $130.94 / $257.18 / $435.57	Professional		$130.94	$257.18	$435.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $147.29 / $510.47	Professional		$144.68	$147.29	$510.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $610.00 / $972.27	Facility		$224.04	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $311.77 / $548.16	Professional		$141.88	$311.77	$548.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.11 / $354.05 / $525.00	Professional		$286.11	$354.05	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.30 / $297.86 / $509.33	Facility		$151.30	$297.86	$509.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $378.00 / $801.00	Professional		$323.77	$378.00	$801.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $183.93 / $318.19	Facility		$138.41	$183.93	$318.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $317.72 / $414.24 / $749.74	Professional		$317.72	$414.24	$749.74
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 $244.51 / $381.08 / $613.96	Professional		$244.51	$381.08	$613.96