Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.35 / $3,484.00 / $8,294.00	Facility		$207.35	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.31 / $250.44 / $433.68	Professional		$168.31	$250.44	$433.68
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 $172.95 / $256.41 / $377.05	Professional		$172.95	$256.41	$377.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.14 / $204.20 / $2,315.00	Professional		$190.14	$204.20	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.92 / $305.92 / $305.92	Facility		$305.92	$305.92	$305.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $266.33 / $493.33	Professional		$184.31	$266.33	$493.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $313.62 / $373.36	Professional		$280.83	$313.62	$373.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $255.30 / $379.45	Facility		$173.50	$255.30	$379.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $384.00 / $538.00	Professional		$324.00	$384.00	$538.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.76 / $239.29 / $2,156.00	Facility		$174.76	$239.29	$2,156.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $332.64 / $2,156.00	Professional		$250.12	$332.64	$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 $205.60 / $282.93 / $480.38	Professional		$205.60	$282.93	$480.38