Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $3,226.00 / $8,920.00	Facility		$75.20	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $112.24 / $209.06	Professional		$62.31	$112.24	$209.06
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 $64.47 / $135.77 / $241.10	Professional		$64.47	$135.77	$241.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $137.72	Professional		$68.86	$68.86	$137.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $161.85 / $610.00	Facility		$109.44	$161.85	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $154.68 / $287.66	Professional		$72.00	$154.68	$287.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $196.19 / $400.70	Professional		$156.94	$196.19	$400.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $155.21 / $271.83	Facility		$73.13	$155.21	$271.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $184.00 / $298.95	Professional		$150.24	$184.00	$298.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $89.69 / $160.22	Facility		$67.90	$89.69	$160.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $193.83 / $349.95	Professional		$136.79	$193.83	$349.95
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 $115.08 / $182.66 / $301.89	Professional		$115.08	$182.66	$301.89