Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $593.97 / $6,827.70	Facility		$87.14	$593.97	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $193.11 / $387.89	Professional		$73.48	$193.11	$387.89
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 $73.09 / $185.34 / $393.30	Professional		$73.09	$185.34	$393.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.42 / $168.14	Professional		$82.42	$82.42	$168.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $287.83 / $610.00	Facility		$128.25	$287.83	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $204.70 / $448.32	Professional		$73.06	$204.70	$448.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.55 / $324.27 / $525.00	Professional		$258.55	$324.27	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $184.13 / $438.82	Facility		$79.31	$184.13	$438.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $307.00 / $496.62	Professional		$242.00	$307.00	$496.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $92.29 / $175.46	Facility		$63.43	$92.29	$175.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $299.00 / $612.26	Professional		$206.70	$299.00	$612.26
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 $178.53 / $274.06 / $469.15	Professional		$178.53	$274.06	$469.15