Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.83 / $5,048.00 / $10,767.00	Facility		$219.83	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $218.02 / $225.14	Professional		$91.63	$218.02	$225.14
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 $154.34 / $197.37 / $326.31	Professional		$154.34	$197.37	$326.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $118.45 / $2,012.00	Professional		$118.45	$118.45	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $640.00	Facility		$236.22	$236.22	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.81 / $983.81 / $983.81	Professional		$983.81	$983.81	$983.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $253.20 / $292.83	Professional		$197.86	$253.20	$292.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $239.35 / $367.52	Facility		$183.96	$239.35	$367.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $347.57 / $488.50	Professional		$274.08	$347.57	$488.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $261.39 / $1,632.00	Facility		$125.74	$261.39	$1,632.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.62 / $264.24 / $1,632.00	Professional		$198.62	$264.24	$1,632.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $157.01 / $240.74 / $377.06	Professional		$157.01	$240.74	$377.06