Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $3,226.00 / $8,294.00	Facility		$148.68	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $188.47 / $275.95	Professional		$123.65	$188.47	$275.95
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 $124.46 / $204.98 / $311.25	Professional		$124.46	$204.98	$311.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $118.66 / $2,315.00	Professional		$118.66	$118.66	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $220.54 / $220.54	Facility		$220.54	$220.54	$220.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $213.83 / $359.19	Professional		$131.66	$213.83	$359.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.46 / $258.07 / $307.23	Professional		$229.46	$258.07	$307.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $202.98 / $306.54	Facility		$123.94	$202.98	$306.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $289.00 / $394.00	Professional		$244.00	$289.00	$394.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $172.49 / $1,098.00	Facility		$124.75	$172.49	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $271.62 / $1,098.00	Professional		$187.75	$271.62	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $230.96 / $389.07	Professional		$165.61	$230.96	$389.07