Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.43 / $2,039.46 / $8,294.00	Facility		$158.43	$2,039.46	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $231.99 / $340.35	Professional		$132.04	$231.99	$340.35
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 $133.09 / $239.61 / $381.04	Professional		$133.09	$239.61	$381.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $153.44 / $308.43	Professional		$153.44	$153.44	$308.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $245.98 / $610.00	Facility		$188.67	$245.98	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $256.45 / $460.28	Professional		$138.18	$256.45	$460.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $315.39 / $525.00	Professional		$252.32	$315.39	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $260.51 / $442.87	Facility		$148.34	$260.51	$442.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $343.00 / $494.00	Professional		$281.00	$343.00	$494.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $168.80 / $315.12	Facility		$133.85	$168.80	$315.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $315.87 / $613.32	Professional		$225.77	$315.87	$613.32
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 $190.73 / $274.52 / $476.47	Professional		$190.73	$274.52	$476.47