Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.25 / $2,561.00 / $8,294.00	Facility		$372.25	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $227.81 / $293.57	Professional		$193.52	$227.81	$293.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.01 / $251.50 / $351.97	Professional		$193.01	$251.50	$351.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $228.66 / $434.36	Professional		$217.18	$228.66	$434.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $495.64 / $617.00	Facility		$240.68	$495.64	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $260.77 / $481.39	Professional		$182.28	$260.77	$481.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $252.55 / $507.01	Professional		$202.04	$252.55	$507.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.64 / $258.97 / $382.35	Facility		$193.64	$258.97	$382.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $285.00 / $495.07	Professional		$233.00	$285.00	$495.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $249.70 / $498.94	Facility		$191.88	$249.70	$498.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $249.70 / $498.94	Professional		$191.88	$249.70	$498.94
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $228.67 / $393.94	Professional		$157.83	$228.67	$393.94