Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.12 / $2,561.00 / $8,294.00	Facility		$436.12	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $294.81 / $515.71	Professional		$156.13	$294.81	$515.71
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 $155.77 / $333.93 / $594.58	Professional		$155.77	$333.93	$594.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $176.94 / $362.73	Professional		$174.39	$176.94	$362.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $610.00 / $972.27	Facility		$269.16	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $373.74 / $697.53	Professional		$173.80	$373.74	$697.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.64 / $486.47 / $677.80	Professional		$370.64	$486.47	$677.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.27 / $395.12 / $712.46	Facility		$181.27	$395.12	$712.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $538.00 / $782.00	Professional		$456.00	$538.00	$782.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $215.60 / $380.21	Facility		$169.39	$215.60	$380.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $406.72 / $528.14 / $949.71	Professional		$406.72	$528.14	$949.71
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 $306.56 / $486.89 / $769.15	Professional		$306.56	$486.89	$769.15