Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.49 / $2,459.00 / $7,275.00	Facility		$241.49	$2,459.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $320.45 / $495.79	Professional		$190.40	$320.45	$495.79
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 $203.74 / $346.04 / $527.33	Professional		$203.74	$346.04	$527.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $184.51 / $1,013.00	Professional		$184.51	$184.51	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $363.14 / $363.14	Facility		$363.14	$363.14	$363.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $348.58 / $581.55	Professional		$217.64	$348.58	$581.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $448.54 / $533.98	Professional		$399.01	$448.54	$533.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $325.00 / $501.76	Facility		$199.83	$325.00	$501.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $423.00 / $483.00 / $715.00	Professional		$423.00	$483.00	$715.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $268.58 / $1,169.82	Facility		$200.31	$268.58	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $460.01 / $1,380.00	Professional		$275.52	$460.01	$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 $224.29 / $358.58 / $658.90	Professional		$224.29	$358.58	$658.90