Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.07 / $3,633.00 / $8,294.00	Facility		$258.07	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $290.08 / $377.40	Professional		$213.87	$290.08	$377.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $323.74 / $476.91	Professional		$209.76	$323.74	$476.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $225.42 / $225.42 / $3,426.00	Professional		$225.42	$225.42	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $378.97 / $378.97	Facility		$378.97	$378.97	$378.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.41 / $333.83 / $614.87	Professional		$222.41	$333.83	$614.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $394.02 / $469.08	Professional		$353.90	$394.02	$469.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.35 / $323.60 / $466.16	Facility		$218.35	$323.60	$466.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $422.01 / $663.00	Professional		$393.00	$422.01	$663.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.51 / $304.82 / $3,123.00	Facility		$226.51	$304.82	$3,123.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $331.06 / $421.84 / $3,123.00	Professional		$331.06	$421.84	$3,123.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $365.22 / $630.32	Professional		$267.14	$365.22	$630.32