Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $3,226.00 / $8,920.00	Facility		$187.86	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $238.22 / $317.24	Professional		$152.93	$238.22	$317.24
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 $155.19 / $198.47 / $328.13	Professional		$155.19	$198.47	$328.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $146.85 / $822.00	Professional		$146.85	$146.85	$822.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $294.83 / $515.66	Professional		$174.08	$294.83	$515.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.37 / $378.37 / $447.16	Professional		$292.37	$378.37	$447.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $303.44 / $498.79	Facility		$176.97	$303.44	$498.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $366.00 / $517.00	Professional		$310.00	$366.00	$517.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $210.78 / $805.00	Facility		$155.69	$210.78	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $346.44 / $819.00	Professional		$250.91	$346.44	$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 $204.86 / $340.67 / $573.60	Professional		$204.86	$340.67	$573.60