Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.61 / $3,309.00 / $8,294.00	Facility		$201.61	$3,309.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $167.05 / $251.70	Professional		$120.73	$167.05	$251.70
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 $113.04 / $147.77 / $244.30	Professional		$113.04	$147.77	$244.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $139.30 / $2,012.00	Professional		$134.90	$139.30	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $572.00	Facility		$214.88	$214.88	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $201.78 / $345.09	Professional		$128.55	$201.78	$345.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $236.04 / $278.02	Professional		$184.41	$236.04	$278.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.41 / $212.94 / $327.00	Facility		$141.41	$212.94	$327.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $259.00 / $354.00	Professional		$230.00	$259.00	$354.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $166.52 / $895.95	Facility		$120.88	$166.52	$895.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $248.24 / $914.80	Professional		$184.41	$248.24	$914.80
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 $144.22 / $242.62 / $367.67	Professional		$144.22	$242.62	$367.67