Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.59 / $2,004.00 / $8,294.00	Facility		$205.59	$2,004.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $204.57 / $260.27	Professional		$163.94	$204.57	$260.27
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 $181.63 / $235.01 / $388.54	Professional		$181.63	$235.01	$388.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.35 / $235.59 / $822.00	Professional		$210.35	$235.59	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $234.26 / $419.48	Professional		$179.69	$234.26	$419.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $244.07 / $288.44	Professional		$188.60	$244.07	$288.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $234.66 / $349.50	Facility		$188.57	$234.66	$349.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $249.00 / $364.00	Professional		$224.00	$249.00	$364.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $236.15 / $805.00	Facility		$178.15	$236.15	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $179.13 / $231.50 / $805.00	Professional		$179.13	$231.50	$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 $136.69 / $220.85 / $360.39	Professional		$136.69	$220.85	$360.39