Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $3,633.00 / $8,920.00	Facility		$200.23	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $223.54 / $388.87	Professional		$129.72	$223.54	$388.87
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 $175.80 / $288.95 / $454.33	Professional		$175.80	$288.95	$454.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $181.54 / $364.90	Professional		$163.38	$181.54	$364.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.73 / $315.16 / $610.00	Facility		$241.73	$315.16	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $269.89 / $532.51	Professional		$146.99	$269.89	$532.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $371.95 / $531.36	Professional		$297.89	$371.95	$531.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $282.82 / $492.70	Facility		$170.20	$282.82	$492.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $288.00 / $476.28	Professional		$233.00	$288.00	$476.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.08 / $185.66 / $431.46	Facility		$126.08	$185.66	$431.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $323.38 / $708.98	Professional		$186.51	$323.38	$708.98
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 $175.13 / $292.85 / $550.78	Professional		$175.13	$292.85	$550.78