Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.40 / $2,442.00 / $7,275.00	Facility		$414.40	$2,442.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $359.52 / $686.33	Professional		$211.37	$359.52	$686.33
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 $229.75 / $359.87 / $546.44	Professional		$229.75	$359.87	$546.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $206.02 / $1,013.00	Professional		$206.02	$206.02	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $381.15 / $654.26	Professional		$244.03	$381.15	$654.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.04 / $456.30 / $543.21	Professional		$406.04	$456.30	$543.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.51 / $351.10 / $536.37	Facility		$229.51	$351.10	$536.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $523.00 / $770.00	Professional		$468.00	$523.00	$770.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.54 / $305.57 / $1,169.82	Facility		$223.54	$305.57	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $332.23 / $477.59 / $1,380.00	Professional		$332.23	$477.59	$1,380.00
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 $299.69 / $401.52 / $693.56	Professional		$299.69	$401.52	$693.56