Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $3,226.00 / $8,294.00	Facility		$154.04	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $163.96 / $210.27	Professional		$131.91	$163.96	$210.27
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 $123.54 / $157.99 / $261.20	Professional		$123.54	$157.99	$261.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $143.08 / $1,757.00	Professional		$142.08	$143.08	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $640.00	Facility		$224.88	$224.88	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $199.62 / $346.93	Professional		$142.71	$199.62	$346.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $221.82 / $262.14	Professional		$171.58	$221.82	$262.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.04 / $205.50 / $316.29	Facility		$154.04	$205.50	$316.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $249.33 / $365.50	Professional		$219.00	$249.33	$365.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.87 / $178.05 / $828.24	Facility		$132.87	$178.05	$828.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $234.16 / $845.67	Professional		$175.51	$234.16	$845.67
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 $142.77 / $225.07 / $342.74	Professional		$142.77	$225.07	$342.74