Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $1,731.00 / $7,247.01	Facility		$137.08	$1,731.00	$7,247.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $277.80 / $504.25	Professional		$126.43	$277.80	$504.25
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 $118.92 / $252.10 / $428.85	Professional		$118.92	$252.10	$428.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $129.44 / $402.62	Professional		$129.44	$129.44	$402.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $550.00 / $835.64	Facility		$202.46	$550.00	$835.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $282.14 / $507.78	Professional		$135.72	$282.14	$507.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $349.07 / $543.44	Professional		$281.20	$349.07	$543.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $302.58 / $511.70	Facility		$137.08	$302.58	$511.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $403.00 / $572.24	Professional		$332.00	$403.00	$572.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.31 / $173.98 / $288.02	Facility		$132.31	$173.98	$288.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $301.19 / $383.58 / $683.78	Professional		$301.19	$383.58	$683.78
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 $232.99 / $351.50 / $550.50	Professional		$232.99	$351.50	$550.50