Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $3,116.00 / $8,294.00	Facility		$279.83	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $266.75 / $405.62	Professional		$157.80	$266.75	$405.62
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 $151.19 / $193.36 / $319.68	Professional		$151.19	$193.36	$319.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $186.20 / $2,012.00	Professional		$177.35	$186.20	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.08 / $572.00	Facility		$272.08	$272.08	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $303.02 / $532.01	Professional		$166.24	$303.02	$532.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $373.00 / $440.82	Professional		$288.23	$373.00	$440.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.14 / $313.41 / $507.46	Facility		$175.14	$313.41	$507.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $402.00 / $536.64	Professional		$355.00	$402.00	$536.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $208.28 / $1,291.00	Facility		$156.87	$208.28	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $380.70 / $1,291.00	Professional		$274.64	$380.70	$1,291.00
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 $217.70 / $356.58 / $572.28	Professional		$217.70	$356.58	$572.28