Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.06 / $3,484.00 / $8,294.00	Facility		$224.06	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $179.88 / $241.29	Professional		$159.78	$179.88	$241.29
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 $157.19 / $203.57 / $336.56	Professional		$157.19	$203.57	$336.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $183.81 / $2,012.00	Professional		$183.81	$183.81	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $572.00	Facility		$286.14	$286.14	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $228.21 / $421.93	Professional		$160.54	$228.21	$421.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $276.30 / $326.52	Professional		$213.50	$276.30	$326.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.50 / $234.39 / $366.05	Facility		$179.50	$234.39	$366.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $265.00 / $404.42	Professional		$232.00	$265.00	$404.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $202.19 / $805.00	Facility		$143.51	$202.19	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $255.14 / $805.00	Professional		$169.38	$255.14	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $226.59 / $383.61	Professional		$140.94	$226.59	$383.61