Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.84 / $1,938.00 / $8,294.00	Facility		$181.84	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.06 / $207.33 / $308.89	Professional		$147.06	$207.33	$308.89
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 $149.88 / $214.72 / $325.37	Professional		$149.88	$214.72	$325.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.71 / $156.25 / $312.50	Professional		$154.71	$156.25	$312.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $256.04 / $685.00	Facility		$157.55	$256.04	$685.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $236.68 / $410.72	Professional		$161.88	$236.68	$410.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $263.63 / $525.00	Professional		$210.90	$263.63	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $247.17 / $377.65	Facility		$167.48	$247.17	$377.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $295.70 / $404.00	Professional		$245.00	$295.70	$404.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $188.19 / $359.26	Facility		$151.63	$188.19	$359.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.20 / $261.22 / $508.17	Professional		$209.20	$261.22	$508.17
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $262.44 / $410.15	Professional		$165.28	$262.44	$410.15