Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.01 / $3,226.00 / $8,294.00	Facility		$166.01	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $225.26 / $396.16	Professional		$114.00	$225.26	$396.16
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 / $250.35	Professional		$120.16	$153.66	$250.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $296.87 / $1,013.00	Professional		$147.21	$296.87	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $218.19 / $218.19	Facility		$218.19	$218.19	$218.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $261.43 / $515.91	Professional		$128.61	$261.43	$515.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.92 / $326.95 / $408.75	Professional		$277.92	$326.95	$408.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $249.32 / $501.93	Facility		$124.99	$249.32	$501.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $383.00 / $537.00	Professional		$345.00	$383.00	$537.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $172.13 / $3,440.00	Facility		$129.37	$172.13	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $377.12 / $3,440.00	Professional		$280.76	$377.12	$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 $206.83 / $301.92 / $520.01	Professional		$206.83	$301.92	$520.01