Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $3,226.00 / $8,294.00	Facility		$140.63	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $157.36 / $289.05	Professional		$114.96	$157.36	$289.05
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 $119.85 / $153.27 / $221.84	Professional		$119.85	$153.27	$221.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $298.43 / $2,413.00	Professional		$146.04	$298.43	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $218.94 / $218.94	Facility		$218.94	$218.94	$218.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $179.92 / $329.13	Professional		$124.98	$179.92	$329.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $179.69 / $229.77	Professional		$152.74	$179.69	$229.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $182.00 / $290.75	Facility		$124.70	$182.00	$290.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $225.00 / $306.60	Professional		$200.00	$225.00	$306.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $166.44 / $3,440.00	Facility		$121.58	$166.44	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $215.34 / $3,440.00	Professional		$157.12	$215.34	$3,440.00
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 $115.56 / $155.25 / $287.24	Professional		$115.56	$155.25	$287.24