Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $2,190.00 / $8,900.00	Facility		$260.00	$2,190.00	$8,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $255.40 / $434.41	Professional		$142.58	$255.40	$434.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $170.17 / $281.33	Professional		$133.07	$170.17	$281.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $165.49 / $2,635.00	Professional		$153.99	$165.49	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $420.00	Facility		$243.12	$243.12	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.58 / $249.26 / $520.79	Professional		$149.58	$249.26	$520.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.61 / $294.14 / $347.62	Professional		$227.61	$294.14	$347.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $265.00 / $469.87	Facility		$161.94	$265.00	$469.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $358.19 / $591.00	Professional		$304.00	$358.19	$591.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $200.26 / $1,291.00	Facility		$144.46	$200.26	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $369.10 / $1,291.00	Professional		$251.82	$369.10	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $361.53 / $690.43	Professional		$201.55	$361.53	$690.43