Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.44 / $3,096.00 / $7,275.00	Facility		$244.44	$3,096.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $228.39 / $408.11	Professional		$159.80	$228.39	$408.11
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 $173.27 / $239.84 / $352.74	Professional		$173.27	$239.84	$352.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $194.95 / $3,426.00	Professional		$172.17	$194.95	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.64 / $307.64 / $307.64	Facility		$307.64	$307.64	$307.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $245.45 / $438.83	Professional		$177.51	$245.45	$438.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $279.80 / $333.10	Professional		$250.49	$279.80	$333.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $238.50 / $342.71	Facility		$171.53	$238.50	$342.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $325.00 / $459.00	Professional		$286.00	$325.00	$459.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $222.69 / $2,814.00	Facility		$171.56	$222.69	$2,814.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $221.01 / $285.37 / $2,814.00	Professional		$221.01	$285.37	$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 $178.80 / $242.16 / $429.60	Professional		$178.80	$242.16	$429.60