Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.88 / $1,938.00 / $8,294.00	Facility		$167.88	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $209.40 / $388.42	Professional		$134.40	$209.40	$388.42
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 $141.22 / $218.62 / $321.52	Professional		$141.22	$218.62	$321.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $167.07 / $2,315.00	Professional		$155.79	$167.07	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.52 / $249.52 / $249.52	Facility		$249.52	$249.52	$249.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.09 / $221.75 / $402.91	Professional		$145.09	$221.75	$402.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.12 / $267.62 / $318.60	Professional		$239.12	$267.62	$318.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $208.86 / $313.01	Facility		$137.72	$208.86	$313.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $315.00 / $428.00	Professional		$268.00	$315.00	$428.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $187.00 / $2,156.00	Facility		$132.78	$187.00	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $281.00 / $2,156.00	Professional		$191.90	$281.00	$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 $167.96 / $234.69 / $417.86	Professional		$167.96	$234.69	$417.86