Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $3,633.00 / $8,920.00	Facility		$174.52	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $252.59 / $323.91	Professional		$174.52	$252.59	$323.91
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 $382.50 / $475.00 / $670.20	Professional		$382.50	$475.00	$670.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $437.00	Professional		$380.00	$380.00	$437.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.25 / $323.25 / $323.25	Facility		$323.25	$323.25	$323.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.01 / $1,135.01 / $1,135.01	Professional		$1,135.01	$1,135.01	$1,135.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.99 / $371.92 / $442.76	Professional		$334.99	$371.92	$442.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $273.13 / $460.90	Facility		$174.52	$273.13	$460.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $516.41 / $652.73	Professional		$331.00	$516.41	$652.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.54 / $465.17 / $1,578.00	Facility		$265.54	$465.17	$1,578.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.54 / $465.17 / $1,578.00	Professional		$265.54	$465.17	$1,578.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $297.91 / $600.92	Professional		$170.27	$297.91	$600.92