Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.70 / $1,990.00 / $7,275.00	Facility		$316.70	$1,990.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.48 / $356.02 / $549.39	Professional		$208.48	$356.02	$549.39
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 $209.78 / $348.75 / $537.12	Professional		$209.78	$348.75	$537.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.52 / $196.52 / $2,413.00	Professional		$196.52	$196.52	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.78 / $372.78 / $372.78	Facility		$372.78	$372.78	$372.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $357.08 / $599.12	Professional		$221.50	$357.08	$599.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.22 / $445.06 / $529.84	Professional		$397.22	$445.06	$529.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.29 / $342.38 / $502.20	Facility		$209.29	$342.38	$502.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $503.47 / $734.00	Professional		$434.00	$503.47	$734.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $288.11 / $1,169.82	Facility		$210.60	$288.11	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $303.61 / $465.05 / $1,380.00	Professional		$303.61	$465.05	$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 $268.08 / $375.32 / $666.11	Professional		$268.08	$375.32	$666.11