Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.73 / $2,649.96 / $8,294.00	Facility		$200.73	$2,649.96	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $205.32 / $279.35	Professional		$113.80	$205.32	$279.35
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 $105.52 / $138.21 / $229.80	Professional		$105.52	$138.21	$229.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $129.93 / $1,490.00	Professional		$129.93	$129.93	$1,490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $242.08 / $473.89	Professional		$133.40	$242.08	$473.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $285.05 / $351.56	Professional		$236.18	$285.05	$351.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $265.99 / $423.60	Facility		$131.59	$265.99	$423.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $324.00 / $588.00	Professional		$292.32	$324.00	$588.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $175.37 / $291.20	Facility		$126.69	$175.37	$291.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $349.80 / $612.77	Professional		$264.29	$349.80	$612.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $354.65 / $561.91	Professional		$228.61	$354.65	$561.91