Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.66 / $969.00 / $5,042.39	Facility		$267.66	$969.00	$5,042.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $292.62 / $543.92	Professional		$177.67	$292.62	$543.92
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 $180.88 / $280.89 / $426.52	Professional		$180.88	$280.89	$426.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $178.93 / $974.00	Professional		$178.93	$178.93	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $319.20 / $319.20	Facility		$319.20	$319.20	$319.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.29 / $298.68 / $522.82	Professional		$194.29	$298.68	$522.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.50 / $356.21 / $424.06	Professional		$317.50	$356.21	$424.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $275.17 / $415.23	Facility		$174.08	$275.17	$415.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $431.00 / $606.00	Professional		$358.00	$431.00	$606.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.63 / $243.06 / $1,169.82	Facility		$180.63	$243.06	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $259.79 / $375.40 / $1,302.10	Professional		$259.79	$375.40	$1,302.10
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 $234.78 / $310.01 / $536.60	Professional		$234.78	$310.01	$536.60