Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $4,771.00 / $9,539.00	Facility		$127.09	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $127.09 / $154.62	Professional		$106.58	$127.09	$154.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $131.26 / $187.00	Professional		$104.22	$131.26	$187.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $123.55 / $240.92	Professional		$122.85	$123.55	$240.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $526.00 / $925.00	Facility		$127.87	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $146.07 / $257.20	Professional		$110.33	$146.07	$257.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $130.36 / $185.03	Professional		$104.29	$130.36	$185.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.16 / $150.19 / $228.98	Facility		$116.16	$150.19	$228.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $158.00 / $256.01	Professional		$141.00	$158.00	$256.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $142.69 / $260.64	Facility		$113.33	$142.69	$260.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $142.69 / $260.64	Professional		$113.33	$142.69	$260.64
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $133.18 / $221.34	Professional		$87.59	$133.18	$221.34