Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.90 / $3,226.00 / $8,920.00	Facility		$210.90	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $246.25 / $348.10	Professional		$161.25	$246.25	$348.10
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 $174.25 / $222.83 / $368.40	Professional		$174.25	$222.83	$368.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $165.49 / $794.00	Professional		$165.49	$165.49	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $299.20 / $562.91	Professional		$190.06	$299.20	$562.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.12 / $412.97 / $488.06	Professional		$319.12	$412.97	$488.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.98 / $323.57 / $494.09	Facility		$195.98	$323.57	$494.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $389.00 / $567.00	Professional		$325.00	$389.00	$567.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $235.35 / $805.00	Facility		$169.82	$235.35	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $254.02 / $375.64 / $819.00	Professional		$254.02	$375.64	$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 $221.81 / $343.07 / $582.70	Professional		$221.81	$343.07	$582.70