Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.24 / $2,516.00 / $8,294.00	Facility		$215.24	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $227.30 / $290.72	Professional		$152.94	$227.30	$290.72
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 $185.49 / $242.48 / $400.89	Professional		$185.49	$242.48	$400.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $223.60 / $794.00	Professional		$192.22	$223.60	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.97 / $340.97 / $340.97	Facility		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $250.67 / $483.70	Professional		$178.59	$250.67	$483.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $308.04 / $364.05	Professional		$238.03	$308.04	$364.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.26 / $255.50 / $411.17	Facility		$191.26	$255.50	$411.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $245.00 / $455.00	Professional		$220.00	$245.00	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $232.75 / $805.00	Facility		$164.56	$232.75	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.98 / $274.73 / $819.00	Professional		$181.98	$274.73	$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 $149.94 / $245.84 / $470.50	Professional		$149.94	$245.84	$470.50