Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $2,561.00 / $8,294.00	Facility		$164.43	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $164.43 / $258.38	Professional		$113.38	$164.43	$258.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $153.66 / $213.37	Professional		$120.16	$153.66	$213.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $272.55 / $3,426.00	Professional		$139.77	$272.55	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Facility		$216.90	$216.90	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $191.28 / $335.86	Professional		$127.23	$191.28	$335.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $217.53 / $274.61	Professional		$184.90	$217.53	$274.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.76 / $190.13 / $327.37	Facility		$124.76	$190.13	$327.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $251.00 / $356.00	Professional		$230.00	$251.00	$356.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.77 / $160.94 / $3,398.99	Facility		$124.77	$160.94	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $233.27 / $3,398.99	Professional		$165.58	$233.27	$3,398.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $196.50 / $336.38	Professional		$134.15	$196.50	$336.38