Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $4,390.00 / $8,920.00	Facility		$175.28	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $175.28 / $217.16	Professional		$147.25	$175.28	$217.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $176.85 / $251.87	Professional		$140.41	$176.85	$251.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $170.10 / $940.00	Professional		$165.06	$170.10	$940.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $610.00 / $1,263.43	Facility		$172.15	$610.00	$1,263.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $211.97 / $356.00	Professional		$152.51	$211.97	$356.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $172.28 / $349.01	Professional		$143.57	$172.28	$349.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.32 / $210.32 / $296.22	Facility		$156.32	$210.32	$296.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $214.00 / $391.00	Professional		$195.00	$214.00	$391.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $208.43 / $356.36	Facility		$160.38	$208.43	$356.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $208.43 / $356.36	Professional		$160.38	$208.43	$356.36
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 $128.19 / $192.94 / $302.75	Professional		$128.19	$192.94	$302.75