Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.45 / $1,719.00 / $6,827.70	Facility		$93.45	$1,719.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $168.58 / $345.22	Professional		$78.36	$168.58	$345.22
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 $78.04 / $189.32 / $385.75	Professional		$78.04	$189.32	$385.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $86.66 / $177.65	Professional		$86.66	$86.66	$177.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $610.00 / $1,572.88	Facility		$136.18	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $220.34 / $444.64	Professional		$85.03	$220.34	$444.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $319.85 / $456.93	Professional		$255.26	$319.85	$456.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.62 / $214.50 / $437.39	Facility		$90.62	$214.50	$437.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $308.00 / $490.89	Professional		$259.00	$308.00	$490.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $102.86 / $193.60	Facility		$80.98	$102.86	$193.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $299.67 / $605.72	Professional		$219.81	$299.67	$605.72
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $286.43 / $471.36	Professional		$187.62	$286.43	$471.36