Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.38 / $1,186.17 / $5,412.00	Facility		$106.38	$1,186.17	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $207.00 / $896.95	Professional		$63.07	$207.00	$896.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $464.69 / $846.11	Professional		$63.80	$464.69	$846.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $68.72 / $291.58	Professional		$66.06	$68.72	$291.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $509.74 / $617.00	Facility		$111.56	$509.74	$617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $197.49 / $1,141.33	Professional		$68.62	$197.49	$1,141.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $674.29 / $1,133.38	Professional		$525.00	$674.29	$1,133.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $624.92 / $1,168.98	Facility		$74.50	$624.92	$1,168.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $942.00 / $1,288.00	Professional		$792.00	$942.00	$1,288.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.29 / $86.98 / $158.88	Facility		$68.29	$86.98	$158.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $677.16 / $874.25 / $1,543.19	Professional		$677.16	$874.25	$1,543.19
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 $536.80 / $867.58 / $1,296.64	Professional		$536.80	$867.58	$1,296.64