Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $3,633.00 / $8,294.00	Facility		$120.66	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $180.00 / $266.85	Professional		$97.23	$180.00	$266.85
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 $94.70 / $177.38 / $268.41	Professional		$94.70	$177.38	$268.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $716.12 / $1,102.23 / $1,181.44	Professional		$716.12	$1,102.23	$1,181.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $197.68 / $239.13	Professional		$133.91	$197.68	$239.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $194.34 / $353.39	Facility		$99.45	$194.34	$353.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $239.00 / $362.00	Professional		$222.00	$239.00	$362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.54 / $142.54 / $819.00	Facility		$109.54	$142.54	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $305.31 / $982.00	Professional		$232.64	$305.31	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.42 / $339.54 / $530.49	Professional		$209.42	$339.54	$530.49