Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $1,520.40 / $5,227.35	Facility		$176.87	$1,520.40	$5,227.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $183.15 / $363.65	Professional		$97.62	$183.15	$363.65
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 $99.82 / $199.31 / $336.59	Professional		$99.82	$199.31	$336.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $110.25 / $216.42	Professional		$106.61	$110.25	$216.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $495.64 / $617.00	Facility		$171.40	$495.64	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $203.07 / $402.24	Professional		$103.70	$203.07	$402.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $279.13 / $525.00	Professional		$223.02	$279.13	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $208.17 / $381.83	Facility		$110.21	$208.17	$381.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $259.00 / $418.08	Professional		$221.00	$259.00	$418.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.53 / $122.23 / $234.62	Facility		$97.53	$122.23	$234.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $257.38 / $520.11	Professional		$179.32	$257.38	$520.11
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 $152.41 / $231.43 / $412.21	Professional		$152.41	$231.43	$412.21