Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $1,938.00 / $8,294.00	Facility		$196.70	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $153.11 / $263.41	Professional		$98.18	$153.11	$263.41
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 $98.67 / $188.30 / $306.04	Professional		$98.67	$188.30	$306.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $108.73 / $220.72	Professional		$108.73	$108.73	$220.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $610.00 / $1,572.88	Facility		$171.25	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $194.91 / $355.90	Professional		$98.13	$194.91	$355.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.45 / $249.31 / $394.52	Professional		$199.45	$249.31	$394.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $196.70 / $335.58	Facility		$109.14	$196.70	$335.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $260.00 / $395.00	Professional		$206.00	$260.00	$395.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $127.84 / $232.83	Facility		$78.27	$127.84	$232.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $266.41 / $457.38	Professional		$182.91	$266.41	$457.38
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $225.71 / $381.95	Professional		$152.03	$225.71	$381.95