Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.89 / $3,633.00 / $8,760.20	Facility		$218.89	$3,633.00	$8,760.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.61 / $218.89 / $751.52	Professional		$134.61	$218.89	$751.52
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 $124.27 / $198.93 / $306.68	Professional		$124.27	$198.93	$306.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $217.08	Professional		$108.00	$108.00	$217.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $610.00 / $1,035.00	Facility		$210.39	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $232.38 / $415.02	Professional		$134.47	$232.38	$415.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $238.65 / $340.94	Professional		$193.20	$238.65	$340.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.58 / $224.11 / $357.59	Facility		$142.58	$224.11	$357.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $273.00 / $466.00	Professional		$239.00	$273.00	$466.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.13 / $169.91 / $302.94	Facility		$129.13	$169.91	$302.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $205.45 / $270.48 / $502.14	Professional		$205.45	$270.48	$502.14
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 $164.38 / $240.29 / $381.23	Professional		$164.38	$240.29	$381.23