Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.51 / $3,988.00 / $8,294.00	Facility		$237.51	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $194.41 / $337.54	Professional		$140.69	$194.41	$337.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $236.12 / $398.74	Professional		$166.26	$236.12	$398.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $131.04 / $4,117.00	Professional		$131.04	$131.04	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $640.00	Facility		$285.79	$285.79	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $239.86 / $428.71	Professional		$168.51	$239.86	$428.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $289.00 / $341.55	Professional		$223.86	$289.00	$341.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $240.97 / $388.01	Facility		$170.00	$240.97	$388.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $287.00 / $397.18	Professional		$254.00	$287.00	$397.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $207.32 / $1,291.00	Facility		$161.40	$207.32	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $269.81 / $1,291.00	Professional		$207.28	$269.81	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $250.68 / $400.90	Professional		$160.47	$250.68	$400.90