Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.08 / $2,190.00 / $8,294.00	Facility		$308.08	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $330.26 / $604.98	Professional		$138.54	$330.26	$604.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $172.13 / $287.35	Professional		$134.60	$172.13	$287.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $165.12 / $2,635.00	Professional		$163.86	$165.12	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $244.41 / $420.00	Facility		$244.41	$244.41	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $353.59 / $685.41	Professional		$153.02	$353.59	$685.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.97 / $436.07 / $515.36	Professional		$336.97	$436.07	$515.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.83 / $332.85 / $681.60	Facility		$151.83	$332.85	$681.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $545.00 / $700.00	Professional		$459.00	$545.00	$700.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.37 / $193.00 / $1,291.00	Facility		$144.37	$193.00	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $335.42 / $496.14 / $1,595.02	Professional		$335.42	$496.14	$1,595.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $500.31 / $801.76	Professional		$301.04	$500.31	$801.76