Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.09 / $596.79 / $5,636.00	Facility		$208.09	$596.79	$5,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $247.07 / $471.04	Professional		$143.75	$247.07	$471.04
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 $138.47 / $238.41 / $363.32	Professional		$138.47	$238.41	$363.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $142.90 / $2,315.00	Professional		$142.90	$142.90	$2,315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.62 / $245.62 / $245.62	Facility		$245.62	$245.62	$245.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $254.37 / $403.70	Professional		$153.86	$254.37	$403.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.33 / $308.36 / $367.10	Professional		$274.33	$308.36	$367.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $228.41 / $346.61	Facility		$139.27	$228.41	$346.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $336.00 / $485.35	Professional		$285.00	$336.00	$485.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $198.13 / $1,169.82	Facility		$138.91	$198.13	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.09 / $318.47 / $1,176.15	Professional		$208.09	$318.47	$1,176.15
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 $189.29 / $255.11 / $447.13	Professional		$189.29	$255.11	$447.13