Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.07 / $3,633.00 / $8,920.00	Facility		$209.07	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $209.07 / $673.71	Professional		$172.13	$209.07	$673.71
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 $184.75 / $385.01 / $768.78	Professional		$184.75	$385.01	$768.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $199.33 / $406.45	Professional		$198.27	$199.33	$406.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $789.83 / $972.27	Facility		$315.74	$789.83	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $260.44 / $736.04	Professional		$182.73	$260.44	$736.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.14 / $594.84 / $733.64	Professional		$444.14	$594.84	$733.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $264.20 / $727.61	Facility		$201.00	$264.20	$727.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.64 / $267.00 / $457.00	Professional		$228.64	$267.00	$457.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $230.22 / $440.93	Facility		$184.01	$230.22	$440.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $187.13 / $243.48 / $660.43	Professional		$187.13	$243.48	$660.43
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 $145.11 / $219.76 / $389.64	Professional		$145.11	$219.76	$389.64