Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.55 / $3,116.00 / $8,294.00	Facility		$305.55	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $182.18 / $305.58	Professional		$154.50	$182.18	$305.58
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 $145.10 / $183.92 / $275.89	Professional		$145.10	$183.92	$275.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $175.46 / $510.47	Professional		$172.55	$175.46	$510.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $610.00 / $972.27	Facility		$178.03	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $218.56 / $401.42	Professional		$159.10	$218.56	$401.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $185.76 / $363.07	Professional		$148.76	$185.76	$363.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.48 / $224.36 / $341.18	Facility		$168.48	$224.36	$341.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $230.00 / $365.86	Professional		$203.00	$230.00	$365.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $170.38 / $216.65 / $378.93	Facility		$170.38	$216.65	$378.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $216.65 / $379.68	Professional		$170.38	$216.65	$379.68
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 $131.08 / $200.25 / $317.30	Professional		$131.08	$200.25	$317.30