Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.48 / $2,190.00 / $8,294.00	Facility		$213.48	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $164.96 / $274.73	Professional		$102.48	$164.96	$274.73
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 $104.89 / $200.82 / $319.36	Professional		$104.89	$200.82	$319.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $109.02 / $221.31	Professional		$109.02	$109.02	$221.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $610.00 / $1,572.88	Facility		$179.75	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $210.42 / $375.00	Professional		$109.65	$210.42	$375.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $260.14 / $415.38	Professional		$208.11	$260.14	$415.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.49 / $213.48 / $368.73	Facility		$118.49	$213.48	$368.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $274.00 / $412.00	Professional		$219.00	$274.00	$412.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $134.75 / $251.72	Facility		$106.84	$134.75	$251.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $280.80 / $485.36	Professional		$212.97	$280.80	$485.36
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 $161.51 / $237.69 / $376.50	Professional		$161.51	$237.69	$376.50