Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $2,190.00 / $7,692.97	Facility		$210.91	$2,190.00	$7,692.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $207.77 / $372.13	Professional		$118.21	$207.77	$372.13
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 $119.25 / $216.86 / $357.59	Professional		$119.25	$216.86	$357.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $261.30	Professional		$128.72	$128.72	$261.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.53 / $610.00 / $712.16	Facility		$205.53	$610.00	$712.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $213.61 / $425.00	Professional		$123.64	$213.61	$425.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $295.69 / $421.16	Professional		$236.55	$295.69	$421.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.62 / $222.71 / $394.08	Facility		$128.62	$222.71	$394.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $276.00 / $443.15	Professional		$230.00	$276.00	$443.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.17 / $145.66 / $282.69	Facility		$117.17	$145.66	$282.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $267.35 / $542.61	Professional		$180.34	$267.35	$542.61
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 $140.12 / $228.33 / $421.54	Professional		$140.12	$228.33	$421.54