Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $3,633.00 / $8,294.00	Facility		$180.08	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $219.42 / $303.54	Professional		$147.96	$219.42	$303.54
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 $145.34 / $224.52 / $330.85	Professional		$145.34	$224.52	$330.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $170.79 / $974.00	Professional		$158.19	$170.79	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $259.70 / $259.70	Facility		$259.70	$259.70	$259.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $230.51 / $422.86	Professional		$156.06	$230.51	$422.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $275.47 / $327.94	Professional		$247.38	$275.47	$327.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $221.74 / $329.55	Facility		$146.91	$221.74	$329.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $327.00 / $440.00	Professional		$272.00	$327.00	$440.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.91 / $205.21 / $1,098.00	Facility		$146.91	$205.21	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $288.27 / $1,113.21	Professional		$207.35	$288.27	$1,113.21
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 $176.43 / $238.76 / $416.04	Professional		$176.43	$238.76	$416.04