Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.03 / $2,190.00 / $8,294.00	Facility		$219.03	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $188.19 / $302.95	Professional		$74.58	$188.19	$302.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.91 / $177.96 / $310.27	Professional		$72.91	$177.96	$310.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $81.04 / $166.13	Professional		$80.37	$81.04	$166.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $495.64 / $617.00	Facility		$122.40	$495.64	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $209.93 / $381.84	Professional		$86.84	$209.93	$381.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $256.01 / $458.67	Professional		$204.81	$256.01	$458.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $219.03 / $386.19	Facility		$84.19	$219.03	$386.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $303.00 / $440.00	Professional		$236.00	$303.00	$440.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $126.55 / $218.44	Facility		$82.61	$126.55	$218.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.29 / $305.94 / $546.14	Professional		$223.29	$305.94	$546.14
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 $165.20 / $258.88 / $397.40	Professional		$165.20	$258.88	$397.40