Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.93 / $2,190.00 / $8,294.00	Facility		$218.93	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $167.83 / $280.08	Professional		$103.49	$167.83	$280.08
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 $105.89 / $202.44 / $326.54	Professional		$105.89	$202.44	$326.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $116.15 / $402.62	Professional		$116.15	$116.15	$402.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $610.00 / $712.16	Facility		$180.95	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $212.91 / $377.09	Professional		$108.01	$212.91	$377.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $266.11 / $399.87	Professional		$212.89	$266.11	$399.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.64 / $218.93 / $365.15	Facility		$119.64	$218.93	$365.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $272.00 / $421.00	Professional		$223.00	$272.00	$421.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $103.98 / $136.86 / $254.14	Facility		$103.98	$136.86	$254.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $274.76 / $493.88	Professional		$206.17	$274.76	$493.88
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 $165.87 / $233.48 / $381.40	Professional		$165.87	$233.48	$381.40