Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.27 / $2,561.00 / $8,294.00	Facility		$202.27	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $131.78 / $160.16	Professional		$109.83	$131.78	$160.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $137.28 / $191.88	Professional		$106.08	$137.28	$191.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $120.68 / $2,329.29	Professional		$120.68	$120.68	$2,329.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $610.00 / $4,773.91	Facility		$132.63	$610.00	$4,773.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $152.63 / $291.82	Professional		$109.89	$152.63	$291.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $138.00 / $275.61	Professional		$110.40	$138.00	$275.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.43 / $153.22 / $229.01	Facility		$120.43	$153.22	$229.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $169.00 / $269.08	Professional		$143.00	$169.00	$269.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $147.16 / $271.10	Facility		$113.25	$147.16	$271.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $147.16 / $271.10	Professional		$113.25	$147.16	$271.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,514.00 / $7,581.00 / $17,104.00	Facility		$1,514.00	$7,581.00	$17,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $129.56 / $218.55	Professional		$90.81	$129.56	$218.55