Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.31 / $2,143.77 / $8,207.00	Facility		$153.31	$2,143.77	$8,207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $163.19 / $223.78	Professional		$71.73	$163.19	$223.78
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 $71.79 / $147.51 / $257.16	Professional		$71.79	$147.51	$257.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $402.62	Professional		$80.09	$80.09	$402.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $610.00 / $712.16	Facility		$123.68	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $167.16 / $308.99	Professional		$76.87	$167.16	$308.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $211.05 / $340.78	Professional		$168.84	$211.05	$340.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $161.58 / $294.39	Facility		$82.46	$161.58	$294.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $224.00 / $337.00	Professional		$176.00	$224.00	$337.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $97.33 / $173.99	Facility		$73.20	$97.33	$173.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $227.95 / $407.45	Professional		$162.86	$227.95	$407.45
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 $132.29 / $192.02 / $314.85	Professional		$132.29	$192.02	$314.85