Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.03 / $2,012.00 / $8,294.00	Facility		$169.03	$2,012.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $211.06 / $348.28	Professional		$138.34	$211.06	$348.28
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 $141.85 / $219.28 / $322.45	Professional		$141.85	$219.28	$322.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $167.81 / $2,315.00	Professional		$156.50	$167.81	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.73 / $251.73 / $251.73	Facility		$251.73	$251.73	$251.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $223.04 / $404.79	Professional		$145.68	$223.04	$404.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.36 / $269.19 / $320.45	Professional		$240.36	$269.19	$320.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $211.51 / $314.42	Facility		$143.08	$211.51	$314.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $317.00 / $429.00	Professional		$270.00	$317.00	$429.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $190.56 / $2,156.00	Facility		$133.68	$190.56	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $281.77 / $2,156.00	Professional		$191.65	$281.77	$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 $169.57 / $236.39 / $409.17	Professional		$169.57	$236.39	$409.17