Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $1,719.00 / $5,743.00	Facility		$127.09	$1,719.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
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 $342.47 / $437.95 / $729.62	Professional		$342.47	$437.95	$729.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,490.00 / $2,012.00 / $2,600.00	Professional		$1,490.00	$2,012.00	$2,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Facility		$420.00	$420.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.00 / $1,404.00 / $1,577.00	Professional		$1,404.00	$1,404.00	$1,577.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $193.56	Facility		$45.89	$127.09	$193.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $242.55 / $242.55	Professional		$242.55	$242.55	$242.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $1,510.08 / $9,929.00	Facility		$858.00	$1,510.08	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $858.00 / $1,510.08 / $9,929.00	Professional		$858.00	$1,510.08	$9,929.00
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