Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $1,964.76 / $6,827.70	Facility		$245.05	$1,964.76	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $214.17 / $391.74	Professional		$142.55	$214.17	$391.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $218.78 / $323.67	Professional		$157.72	$218.78	$323.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $178.07 / $3,026.00	Professional		$160.27	$178.07	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.76 / $278.76 / $278.76	Facility		$278.76	$278.76	$278.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $227.38 / $408.41	Professional		$161.38	$227.38	$408.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.44 / $264.12 / $314.43	Professional		$235.44	$264.12	$314.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.13 / $219.58 / $315.19	Facility		$155.13	$219.58	$315.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $297.00 / $429.00	Professional		$259.00	$297.00	$429.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.99 / $201.96 / $2,814.00	Facility		$150.99	$201.96	$2,814.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $273.89 / $2,814.00	Professional		$199.59	$273.89	$2,814.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $228.81 / $396.05	Professional		$163.16	$228.81	$396.05