Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.44 / $2,840.00 / $8,294.00	Facility		$310.44	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $317.07 / $603.48	Professional		$238.66	$317.07	$603.48
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 $263.70 / $358.00 / $510.94	Professional		$263.70	$358.00	$510.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.93 / $312.80 / $974.00	Professional		$288.93	$312.80	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.89 / $465.89 / $465.89	Facility		$465.89	$465.89	$465.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $379.47 / $649.59	Professional		$272.58	$379.47	$649.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $405.38 / $482.60	Professional		$364.30	$405.38	$482.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.87 / $363.02 / $537.23	Facility		$263.87	$363.02	$537.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $492.00 / $666.00	Professional		$424.00	$492.00	$666.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.33 / $369.14 / $1,263.41	Facility		$275.33	$369.14	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $342.32 / $442.21 / $1,380.00	Professional		$342.32	$442.21	$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 $264.56 / $365.60 / $623.15	Professional		$264.56	$365.60	$623.15