Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.99 / $2,516.00 / $8,294.00	Facility		$241.99	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $241.99 / $422.72	Professional		$194.49	$241.99	$422.72
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 $210.79 / $272.74 / $450.92	Professional		$210.79	$272.74	$450.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $279.05 / $822.00	Professional		$252.79	$279.05	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $383.97 / $383.97	Facility		$383.97	$383.97	$383.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.58 / $279.63 / $516.22	Professional		$214.58	$279.63	$516.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $305.70 / $361.28	Professional		$236.22	$305.70	$361.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.01 / $283.36 / $430.59	Facility		$219.01	$283.36	$430.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $316.00 / $454.00	Professional		$277.00	$316.00	$454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $271.27 / $805.00	Facility		$204.61	$271.27	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $287.10 / $819.00	Professional		$216.79	$287.10	$819.00
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 $170.50 / $273.52 / $470.16	Professional		$170.50	$273.52	$470.16