Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.10 / $1,990.00 / $7,275.00	Facility		$257.10	$1,990.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $216.59 / $410.89	Professional		$132.00	$216.59	$410.89
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 $145.79 / $221.82 / $326.19	Professional		$145.79	$221.82	$326.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $166.13 / $1,013.00	Professional		$166.13	$166.13	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $261.81	Facility		$261.81	$261.81	$261.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $243.02 / $421.61	Professional		$149.15	$243.02	$421.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $269.45 / $320.79	Professional		$242.34	$269.45	$320.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $232.97 / $377.67	Facility		$148.10	$232.97	$377.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $319.00 / $454.00	Professional		$281.00	$319.00	$454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.41 / $214.22 / $1,098.00	Facility		$154.41	$214.22	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $212.41 / $305.72 / $1,107.69	Professional		$212.41	$305.72	$1,107.69
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $833.00 / $2,375.00	Facility		$231.00	$833.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $249.01 / $414.78	Professional		$189.62	$249.01	$414.78