Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $1,938.00 / $6,827.70	Facility		$194.94	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $188.48 / $343.58	Professional		$131.54	$188.48	$343.58
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 $140.90 / $195.08 / $286.91	Professional		$140.90	$195.08	$286.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $159.63 / $2,413.00	Professional		$143.10	$159.63	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.76 / $246.76 / $246.76	Facility		$246.76	$246.76	$246.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $198.61 / $354.99	Professional		$146.21	$198.61	$354.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.68 / $226.92 / $270.14	Professional		$202.68	$226.92	$270.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $189.61 / $276.19	Facility		$134.72	$189.61	$276.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $261.00 / $373.00	Professional		$230.00	$261.00	$373.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.15 / $181.30 / $2,156.00	Facility		$141.15	$181.30	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $235.21 / $2,156.00	Professional		$171.35	$235.21	$2,156.00
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 $139.74 / $197.28 / $347.86	Professional		$139.74	$197.28	$347.86