Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $2,516.00 / $8,294.00	Facility		$196.19	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.80 / $196.19 / $264.42	Professional		$166.80	$196.19	$264.42
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 $164.78 / $213.40 / $352.81	Professional		$164.78	$213.40	$352.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.25 / $215.75 / $794.00	Professional		$214.25	$215.75	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $244.87 / $425.01	Professional		$181.44	$244.87	$425.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $248.23 / $292.66	Professional		$193.93	$248.23	$292.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.37 / $240.79 / $357.54	Facility		$185.37	$240.79	$357.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $275.00 / $387.00	Professional		$241.00	$275.00	$387.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $229.49 / $805.00	Facility		$175.81	$229.49	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $185.69 / $249.72 / $805.00	Professional		$185.69	$249.72	$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 $151.08 / $240.53 / $386.41	Professional		$151.08	$240.53	$386.41