Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.36 / $1,719.00 / $6,827.70	Facility		$110.36	$1,719.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $226.90 / $416.68	Professional		$93.63	$226.90	$416.68
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 $95.19 / $227.27 / $468.49	Professional		$95.19	$227.27	$468.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $100.17 / $204.35	Professional		$100.17	$100.17	$204.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $610.00 / $1,572.88	Facility		$162.66	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $249.97 / $538.74	Professional		$103.94	$249.97	$538.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $382.21 / $525.00	Professional		$305.77	$382.21	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $278.19 / $535.24	Facility		$106.82	$278.19	$535.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $373.00 / $591.42	Professional		$304.00	$373.00	$591.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $98.02 / $132.16 / $227.79	Facility		$98.02	$132.16	$227.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $377.03 / $737.95	Professional		$269.58	$377.03	$737.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $5,260.00 / $12,739.00	Facility		$1,078.00	$5,260.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.21 / $362.09 / $570.64	Professional		$223.21	$362.09	$570.64