Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.91 / $2,190.00 / $8,294.00	Facility		$262.91	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $262.52 / $321.88	Professional		$207.55	$262.52	$321.88
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 $225.48 / $294.75 / $487.31	Professional		$225.48	$294.75	$487.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.19 / $286.20 / $910.00	Professional		$260.19	$286.20	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $420.00	Facility		$415.55	$415.55	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.81 / $293.97 / $533.78	Professional		$222.81	$293.97	$533.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $313.89 / $370.96	Professional		$242.55	$313.89	$370.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.25 / $295.23 / $446.95	Facility		$225.25	$295.23	$446.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $318.00 / $466.00	Professional		$276.00	$318.00	$466.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.47 / $292.19 / $1,285.00	Facility		$219.47	$292.19	$1,285.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $296.47 / $1,285.00	Professional		$220.63	$296.47	$1,285.00
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 $170.96 / $276.58 / $457.22	Professional		$170.96	$276.58	$457.22