Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $2,516.00 / $8,294.00	Facility		$111.91	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $142.80 / $192.40	Professional		$97.11	$142.80	$192.40
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 $92.98 / $117.11 / $193.61	Professional		$92.98	$117.11	$193.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $113.88 / $2,012.00	Professional		$109.68	$113.88	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $640.00	Facility		$168.21	$168.21	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $168.54 / $292.27	Professional		$103.01	$168.54	$292.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $193.03 / $223.04	Professional		$150.69	$193.03	$223.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $181.94 / $278.77	Facility		$111.91	$181.94	$278.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $228.02 / $302.00	Professional		$207.00	$228.02	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $136.19 / $780.00	Facility		$99.90	$136.19	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $220.01 / $780.60	Professional		$167.01	$220.01	$780.60
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $215.13 / $319.49	Professional		$133.62	$215.13	$319.49