Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.50 / $2,147.94 / $6,827.70	Facility		$206.50	$2,147.94	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $188.85 / $351.06	Professional		$130.06	$188.85	$351.06
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 $143.44 / $198.97 / $293.69	Professional		$143.44	$198.97	$293.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $162.32 / $2,413.00	Professional		$144.88	$162.32	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.61 / $252.61 / $252.61	Facility		$252.61	$252.61	$252.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $200.79 / $362.92	Professional		$147.10	$200.79	$362.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.92 / $233.03 / $277.41	Professional		$207.92	$233.03	$277.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $195.47 / $279.20	Facility		$139.80	$195.47	$279.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $262.00 / $379.00	Professional		$227.00	$262.00	$379.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $183.44 / $2,156.00	Facility		$136.12	$183.44	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $241.17 / $2,156.00	Professional		$177.76	$241.17	$2,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $200.29 / $354.07	Professional		$148.30	$200.29	$354.07