Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $711.04 / $5,412.00	Facility		$290.27	$711.04	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $262.64 / $497.73	Professional		$159.10	$262.64	$497.73
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 $161.69 / $262.14 / $398.05	Professional		$161.69	$262.14	$398.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $149.37 / $974.00	Professional		$149.37	$149.37	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.88 / $283.88 / $283.88	Facility		$283.88	$283.88	$283.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $274.20 / $460.38	Professional		$178.79	$274.20	$460.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $330.37 / $393.30	Professional		$294.27	$330.37	$393.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $251.17 / $377.83	Facility		$158.96	$251.17	$377.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $311.00 / $365.00 / $529.00	Professional		$311.00	$365.00	$529.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $219.88 / $1,169.82	Facility		$162.58	$219.88	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $341.61 / $1,263.41	Professional		$233.58	$341.61	$1,263.41
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 $207.25 / $276.33 / $482.87	Professional		$207.25	$276.33	$482.87