Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $3,226.00 / $8,294.00	Facility		$200.81	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $213.50 / $327.39	Professional		$156.21	$213.50	$327.39
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 $161.84 / $233.62 / $342.06	Professional		$161.84	$233.62	$342.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $190.04 / $974.00	Professional		$174.99	$190.04	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.58 / $288.58 / $288.58	Facility		$288.58	$288.58	$288.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.40 / $247.00 / $446.03	Professional		$171.40	$247.00	$446.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.73 / $283.77 / $337.84	Professional		$255.73	$283.77	$337.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $234.92 / $346.60	Facility		$163.09	$234.92	$346.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $344.00 / $455.00	Professional		$285.00	$344.00	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $231.12 / $1,136.14	Facility		$163.89	$231.12	$1,136.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $301.55 / $1,160.04	Professional		$222.03	$301.55	$1,160.04
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 $187.46 / $250.14 / $431.90	Professional		$187.46	$250.14	$431.90