Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.45 / $2,190.00 / $8,294.00	Facility		$224.45	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $158.62 / $263.14	Professional		$83.45	$158.62	$263.14
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 $84.78 / $110.83 / $185.01	Professional		$84.78	$110.83	$185.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $104.41 / $2,012.00	Professional		$99.20	$104.41	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $160.15 / $420.00	Facility		$160.15	$160.15	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $199.63 / $363.00	Professional		$95.74	$199.63	$363.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $276.01 / $326.20	Professional		$213.28	$276.01	$326.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $214.72 / $366.66	Facility		$103.22	$214.72	$366.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $278.00 / $405.56	Professional		$233.00	$278.00	$405.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $121.57 / $1,002.29	Facility		$90.57	$121.57	$1,002.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $205.29 / $284.56 / $1,023.37	Professional		$205.29	$284.56	$1,023.37
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 $160.69 / $273.73 / $419.92	Professional		$160.69	$273.73	$419.92