Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $1,538.00 / $5,636.00	Facility		$179.84	$1,538.00	$5,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $245.75 / $481.73	Professional		$134.12	$245.75	$481.73
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 $135.86 / $265.10 / $445.19	Professional		$135.86	$265.10	$445.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $145.76 / $845.78	Professional		$145.76	$145.76	$845.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $610.00 / $1,572.88	Facility		$233.97	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $269.58 / $518.67	Professional		$141.36	$269.58	$518.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $367.46 / $524.94	Professional		$294.45	$367.46	$524.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $280.25 / $510.71	Facility		$153.13	$280.25	$510.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $358.00 / $554.89	Professional		$298.00	$358.00	$554.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $170.72 / $320.44	Facility		$137.26	$170.72	$320.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $241.28 / $347.65 / $696.05	Professional		$241.28	$347.65	$696.05
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,739.00	Facility		$908.00	$5,815.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $312.69 / $544.48	Professional		$205.49	$312.69	$544.48