Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $3,226.00 / $8,294.00	Facility		$176.08	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $215.65 / $332.39	Professional		$143.24	$215.65	$332.39
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 $147.88 / $226.58 / $333.18	Professional		$147.88	$226.58	$333.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $174.94 / $2,315.00	Professional		$162.54	$174.94	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.81 / $261.81 / $261.81	Facility		$261.81	$261.81	$261.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.31 / $231.30 / $420.52	Professional		$155.31	$231.30	$420.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.04 / $277.67 / $330.56	Professional		$248.04	$277.67	$330.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $148.79 / $225.42 / $337.18	Facility		$148.79	$225.42	$337.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $333.00 / $468.57	Professional		$280.00	$333.00	$468.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.27 / $204.33 / $2,156.00	Facility		$149.27	$204.33	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $293.27 / $2,156.00	Professional		$219.40	$293.27	$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 $178.83 / $246.69 / $430.40	Professional		$178.83	$246.69	$430.40