Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $3,633.00 / $8,294.00	Facility		$230.92	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $270.25 / $443.28	Professional		$194.02	$270.25	$443.28
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 $190.35 / $313.69 / $477.38	Professional		$190.35	$313.69	$477.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $201.98 / $2,413.00	Professional		$201.98	$201.98	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.06 / $338.06 / $338.06	Facility		$338.06	$338.06	$338.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $333.98 / $556.08	Professional		$210.70	$333.98	$556.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.11 / $396.85 / $472.44	Professional		$354.11	$396.85	$472.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.17 / $310.70 / $463.78	Facility		$188.17	$310.70	$463.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $452.00 / $664.00	Professional		$389.00	$452.00	$664.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $206.24 / $279.01 / $1,169.82	Facility		$206.24	$279.01	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $298.88 / $418.03 / $1,380.00	Professional		$298.88	$418.03	$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 $244.03 / $350.79 / $604.65	Professional		$244.03	$350.79	$604.65