Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.32 / $4,390.00 / $8,920.00	Facility		$253.32	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $253.32 / $407.70	Professional		$169.66	$253.32	$407.70
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 $183.77 / $235.01 / $327.22	Professional		$183.77	$235.01	$327.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $450.63 / $2,764.00	Professional		$228.03	$450.63	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.87 / $327.87 / $327.87	Facility		$327.87	$327.87	$327.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $319.89 / $534.64	Professional		$205.66	$319.89	$534.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $339.57 / $425.84	Professional		$288.63	$339.57	$425.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.99 / $311.58 / $528.12	Facility		$182.99	$311.58	$528.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $459.00 / $545.00	Professional		$356.00	$459.00	$545.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.64 / $274.27 / $7,420.00	Facility		$197.64	$274.27	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $403.90 / $7,420.00	Professional		$296.05	$403.90	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $316.45 / $544.01	Professional		$227.90	$316.45	$544.01