Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.39 / $2,706.50 / $8,294.00	Facility		$197.39	$2,706.50	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $185.43 / $314.29	Professional		$110.57	$185.43	$314.29
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 $111.53 / $193.61 / $304.45	Professional		$111.53	$193.61	$304.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $125.55 / $252.36	Professional		$125.55	$125.55	$252.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.43 / $192.17 / $610.00	Facility		$145.43	$192.17	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $199.84 / $373.58	Professional		$118.97	$199.84	$373.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $251.64 / $511.36	Professional		$201.31	$251.64	$511.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.26 / $205.20 / $346.71	Facility		$125.26	$205.20	$346.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $248.00 / $379.10	Professional		$206.00	$248.00	$379.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.97 / $141.91 / $264.57	Facility		$111.97	$141.91	$264.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $239.45 / $468.68	Professional		$177.31	$239.45	$468.68
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 $144.68 / $221.88 / $379.99	Professional		$144.68	$221.88	$379.99