Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $3,309.00 / $7,275.00	Facility		$318.00	$3,309.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $253.38 / $391.26	Professional		$160.88	$253.38	$391.26
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 $163.92 / $285.00 / $453.24	Professional		$163.92	$285.00	$453.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $179.46 / $353.95	Professional		$172.66	$179.46	$353.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $610.00 / $802.00	Facility		$283.12	$610.00	$802.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $294.81 / $535.34	Professional		$168.36	$294.81	$535.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $377.76 / $525.00	Professional		$302.00	$377.76	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $519.49	Facility		$181.97	$302.00	$519.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $370.00 / $566.95	Professional		$313.64	$370.00	$566.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.83 / $201.27 / $388.04	Facility		$162.83	$201.27	$388.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $352.49 / $694.64	Professional		$262.89	$352.49	$694.64
United Facility/Professional Facility Modifier Low / Median / High Price $503.00 / $2,441.00 / $5,226.00	Facility		$503.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $325.04 / $553.85	Professional		$219.22	$325.04	$553.85