Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $2,516.00 / $8,294.00	Facility		$292.55	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $259.77 / $462.68	Professional		$203.13	$259.77	$462.68
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 $215.48 / $293.45 / $419.55	Professional		$215.48	$293.45	$419.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.89 / $241.99 / $3,026.00	Professional		$218.89	$241.99	$3,026.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $384.03 / $384.03	Facility		$384.03	$384.03	$384.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.56 / $300.99 / $526.92	Professional		$221.56	$300.99	$526.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $331.94 / $395.16	Professional		$298.19	$331.94	$395.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.49 / $292.55 / $424.20	Facility		$216.49	$292.55	$424.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $347.00 / $395.00 / $552.00	Professional		$347.00	$395.00	$552.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.61 / $288.79 / $2,156.00	Facility		$217.61	$288.79	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $350.00 / $2,156.00	Professional		$255.42	$350.00	$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 $218.49 / $292.92 / $502.70	Professional		$218.49	$292.92	$502.70