Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.17 / $3,226.00 / $8,920.00	Facility		$221.17	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $266.70 / $385.80	Professional		$185.57	$266.70	$385.80
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 $181.89 / $237.77 / $393.10	Professional		$181.89	$237.77	$393.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $176.42 / $822.00	Professional		$176.42	$176.42	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $420.00	Facility		$336.83	$336.83	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $327.24 / $620.79	Professional		$194.52	$327.24	$620.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.06 / $467.26 / $552.21	Professional		$361.06	$467.26	$552.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.04 / $336.47 / $544.48	Facility		$217.04	$336.47	$544.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $400.00 / $624.00	Professional		$336.00	$400.00	$624.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $234.27 / $805.00	Facility		$167.41	$234.27	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $400.72 / $890.59	Professional		$253.21	$400.72	$890.59
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $780.00 / $2,350.00	Facility		$231.00	$780.00	$2,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $360.15 / $647.99	Professional		$220.00	$360.15	$647.99