Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $3,226.00 / $8,294.00	Facility		$197.29	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $223.67 / $305.14	Professional		$158.36	$223.67	$305.14
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 $158.66 / $233.88 / $343.92	Professional		$158.66	$233.88	$343.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $186.31 / $974.00	Professional		$172.58	$186.31	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.56 / $284.56 / $284.56	Facility		$284.56	$284.56	$284.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $244.95 / $447.99	Professional		$170.70	$244.95	$447.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.44 / $286.04 / $340.53	Professional		$257.44	$286.04	$340.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.84 / $234.04 / $347.96	Facility		$160.84	$234.04	$347.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $287.00 / $345.00 / $458.00	Professional		$287.00	$345.00	$458.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.84 / $226.41 / $1,141.13	Facility		$160.84	$226.41	$1,141.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $301.73 / $1,165.13	Professional		$220.67	$301.73	$1,165.13
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 $186.75 / $254.30 / $447.00	Professional		$186.75	$254.30	$447.00