Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $2,190.00 / $8,294.00	Facility		$192.44	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $144.04 / $253.26	Professional		$82.28	$144.04	$253.26
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 $83.64 / $169.37 / $289.69	Professional		$83.64	$169.37	$289.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $89.04 / $890.29	Professional		$89.04	$89.04	$890.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $610.00 / $1,572.88	Facility		$143.87	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $169.78 / $346.16	Professional		$83.26	$169.78	$346.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $238.70 / $360.33	Professional		$190.80	$238.70	$360.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $180.88 / $321.77	Facility		$94.72	$180.88	$321.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $237.00 / $379.00	Professional		$195.31	$237.00	$379.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $107.32 / $201.41	Facility		$68.84	$107.32	$201.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $253.34 / $444.04	Professional		$136.57	$253.34	$444.04
United Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $2,441.00 / $5,226.00	Facility		$504.00	$2,441.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $204.16 / $339.38	Professional		$130.87	$204.16	$339.38