Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.93 / $1,784.50 / $8,294.00	Facility		$259.93	$1,784.50	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $259.93 / $478.20	Professional		$166.94	$259.93	$478.20
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 $179.62 / $278.07 / $421.38	Professional		$179.62	$278.07	$421.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $2,413.00	Professional		$160.97	$160.97	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.04 / $319.04 / $319.04	Facility		$319.04	$319.04	$319.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $294.07 / $512.30	Professional		$192.52	$294.07	$512.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.61 / $350.96 / $417.81	Professional		$312.61	$350.96	$417.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $271.63 / $401.10	Facility		$176.39	$271.63	$401.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $383.00 / $559.00	Professional		$346.00	$383.00	$559.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.12 / $245.64 / $1,169.82	Facility		$175.12	$245.64	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $242.31 / $367.97 / $1,272.85	Professional		$242.31	$367.97	$1,272.85
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 $218.02 / $299.02 / $525.35	Professional		$218.02	$299.02	$525.35