Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.37 / $829.37 / $6,827.70	Facility		$337.37	$829.37	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.01 / $324.74 / $539.85	Professional		$201.01	$324.74	$539.85
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 $204.37 / $335.90 / $510.05	Professional		$204.37	$335.90	$510.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.03 / $188.03 / $974.00	Professional		$188.03	$188.03	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.79 / $362.79 / $362.79	Facility		$362.79	$362.79	$362.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $343.57 / $585.74	Professional		$213.23	$343.57	$585.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.03 / $423.60 / $504.29	Professional		$378.03	$423.60	$504.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.20 / $320.95 / $480.09	Facility		$202.20	$320.95	$480.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $478.00 / $688.00	Professional		$407.00	$478.00	$688.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $273.14 / $1,169.82	Facility		$201.86	$273.14	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $441.09 / $1,380.00	Professional		$274.62	$441.09	$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 $253.82 / $355.35 / $631.79	Professional		$253.82	$355.35	$631.79