Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.66 / $2,190.00 / $8,294.00	Facility		$226.66	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $164.43 / $364.88	Professional		$82.28	$164.43	$364.88
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 $83.26 / $193.70 / $410.81	Professional		$83.26	$193.70	$410.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $91.46 / $187.49	Professional		$85.41	$91.46	$187.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $495.64 / $617.00	Facility		$143.87	$495.64	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $215.67 / $468.93	Professional		$89.05	$215.67	$468.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $335.98 / $482.69	Professional		$268.77	$335.98	$482.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $233.39 / $463.16	Facility		$94.72	$233.39	$463.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $315.00 / $517.63	Professional		$267.00	$315.00	$517.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $109.06 / $201.41	Facility		$84.77	$109.06	$201.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $312.11 / $636.82	Professional		$223.45	$312.11	$636.82
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 $191.86 / $304.23 / $493.79	Professional		$191.86	$304.23	$493.79