Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $2,561.00 / $8,920.00	Facility		$258.51	$2,561.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.35 / $225.79 / $278.50	Professional		$197.35	$225.79	$278.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.61 / $247.59 / $339.56	Professional		$193.61	$247.59	$339.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.67 / $339.26 / $3,026.00	Professional		$228.67	$339.26	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $270.99 / $499.37	Professional		$198.11	$270.99	$499.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $236.40 / $291.56	Professional		$197.00	$236.40	$291.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $225.79 / $277.10 / $403.88	Facility		$225.79	$277.10	$403.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.84 / $290.55 / $492.84	Professional		$253.84	$290.55	$492.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.58 / $268.49 / $1,683.00	Facility		$188.58	$268.49	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $268.49 / $1,683.00	Professional		$188.58	$268.49	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $280.22 / $441.47	Professional		$165.76	$280.22	$441.47