Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.04 / $3,633.00 / $8,294.00	Facility		$235.04	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $235.04 / $413.96	Professional		$197.28	$235.04	$413.96
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 $191.96 / $248.38 / $410.64	Professional		$191.96	$248.38	$410.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.60 / $236.63 / $3,019.00	Professional		$229.60	$236.63	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $640.00	Facility		$355.82	$355.82	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.85 / $293.60 / $510.34	Professional		$213.85	$293.60	$510.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.14 / $290.74 / $340.77	Professional		$227.14	$290.74	$340.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $289.16 / $430.12	Facility		$220.93	$289.16	$430.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $328.00 / $463.00	Professional		$290.00	$328.00	$463.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.65 / $271.79 / $1,291.00	Facility		$203.65	$271.79	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $302.77 / $1,291.00	Professional		$228.46	$302.77	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,978.00 / $13,217.00	Facility		$3,510.00	$5,978.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $286.13 / $441.88	Professional		$180.53	$286.13	$441.88