Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.86 / $1,912.00 / $8,294.00	Facility		$184.86	$1,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $167.24 / $293.18	Professional		$108.61	$167.24	$293.18
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 $106.94 / $136.76 / $226.10	Professional		$106.94	$136.76	$226.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $135.24 / $1,757.00	Professional		$123.10	$135.24	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $640.00	Facility		$196.86	$196.86	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $182.36 / $321.20	Professional		$125.29	$182.36	$321.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $218.67 / $258.43	Professional		$169.02	$218.67	$258.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $191.74 / $295.77	Facility		$133.41	$191.74	$295.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $231.00 / $330.00	Professional		$202.00	$231.00	$330.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $116.17 / $156.59 / $797.80	Facility		$116.17	$156.59	$797.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $219.33 / $814.58	Professional		$169.48	$219.33	$814.58
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 $136.96 / $215.23 / $330.80	Professional		$136.96	$215.23	$330.80