Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.35 / $3,633.00 / $8,294.00	Facility		$372.35	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $301.75 / $584.65	Professional		$211.09	$301.75	$584.65
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 $219.28 / $338.29 / $497.45	Professional		$219.28	$338.29	$497.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $212.09 / $1,013.00	Professional		$212.09	$212.09	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.23 / $386.23 / $386.23	Facility		$386.23	$386.23	$386.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.67 / $356.24 / $631.45	Professional		$242.67	$356.24	$631.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $412.79 / $491.41	Professional		$368.89	$412.79	$491.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $330.56 / $485.55	Facility		$219.49	$330.56	$485.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $470.00 / $661.00	Professional		$404.00	$470.00	$661.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $230.02 / $311.39 / $1,169.82	Facility		$230.02	$311.39	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.18 / $435.40 / $1,380.00	Professional		$312.18	$435.40	$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 $266.89 / $370.46 / $630.75	Professional		$266.89	$370.46	$630.75