Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.08 / $710.36 / $8,294.00	Facility		$414.08	$710.36	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.92 / $414.09 / $647.08	Professional		$323.92	$414.09	$647.08
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 $358.37 / $468.46 / $774.50	Professional		$358.37	$468.46	$774.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.82 / $426.04 / $1,757.00	Professional		$383.82	$426.04	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.98 / $471.47 / $867.29	Professional		$352.98	$471.47	$867.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.38 / $540.14 / $638.35	Professional		$417.38	$540.14	$638.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $358.35 / $463.24 / $699.81	Facility		$358.35	$463.24	$699.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $463.00 / $513.00 / $807.00	Professional		$463.00	$513.00	$807.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $329.38 / $446.48 / $971.52	Facility		$329.38	$446.48	$971.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $491.26 / $988.00	Professional		$370.00	$491.26	$988.00
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 $282.42 / $460.68 / $777.02	Professional		$282.42	$460.68	$777.02