Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.47 / $2,705.00 / $7,275.00	Facility		$287.47	$2,705.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $285.47 / $534.41	Professional		$191.53	$285.47	$534.41
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 $201.51 / $296.72 / $436.32	Professional		$201.51	$296.72	$436.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $225.51 / $2,413.00	Professional		$204.07	$225.51	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $358.71	Facility		$358.71	$358.71	$358.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.77 / $303.67 / $573.40	Professional		$201.77	$303.67	$573.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $363.65 / $432.91	Professional		$325.89	$363.65	$432.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.67 / $294.33 / $443.17	Facility		$199.67	$294.33	$443.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $433.00 / $579.00	Professional		$368.00	$433.00	$579.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.42 / $266.33 / $2,156.00	Facility		$185.42	$266.33	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $383.93 / $2,156.00	Professional		$248.73	$383.93	$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 $230.02 / $319.11 / $567.40	Professional		$230.02	$319.11	$567.40