Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.42 / $3,633.00 / $8,920.00	Facility		$293.42	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $293.42 / $362.80	Professional		$225.35	$293.42	$362.80
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 $247.13 / $322.14 / $456.66	Professional		$247.13	$322.14	$456.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.66 / $297.39 / $794.00	Professional		$256.66	$297.39	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $610.00 / $1,572.88	Facility		$310.24	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $311.47 / $568.59	Professional		$220.64	$311.47	$568.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.82 / $327.27 / $525.00	Professional		$261.82	$327.27	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $322.76 / $495.88	Facility		$245.00	$322.76	$495.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $327.00 / $556.00	Professional		$265.00	$327.00	$556.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $224.64 / $310.39 / $632.96	Facility		$224.64	$310.39	$632.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $310.39 / $632.96	Professional		$224.64	$310.39	$632.96
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 $191.32 / $290.83 / $525.94	Professional		$191.32	$290.83	$525.94