Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $2,190.00 / $8,294.00	Facility		$199.47	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $154.36 / $260.27	Professional		$87.71	$154.36	$260.27
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 $89.86 / $176.48 / $302.64	Professional		$89.86	$176.48	$302.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $94.71 / $402.62	Professional		$93.77	$94.71	$402.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $610.00 / $712.16	Facility		$153.00	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $205.43 / $356.00	Professional		$99.55	$205.43	$356.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $246.35 / $388.29	Professional		$197.08	$246.35	$388.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.97 / $199.47 / $344.89	Facility		$100.97	$199.47	$344.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $262.00 / $390.00	Professional		$205.00	$262.00	$390.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $124.59 / $214.61	Facility		$92.35	$124.59	$214.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $201.99 / $262.51 / $477.48	Professional		$201.99	$262.51	$477.48
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 $154.86 / $249.58 / $388.52	Professional		$154.86	$249.58	$388.52