Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.11 / $3,428.50 / $8,294.00	Facility		$287.11	$3,428.50	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $261.88 / $488.01	Professional		$131.15	$261.88	$488.01
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 $140.75 / $179.99 / $246.85	Professional		$140.75	$179.99	$246.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $245.74 / $3,426.00	Professional		$166.90	$245.74	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $297.31 / $538.72	Professional		$153.07	$297.31	$538.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.47 / $358.16 / $445.70	Professional		$298.47	$358.16	$445.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $166.01 / $311.27 / $506.66	Facility		$166.01	$311.27	$506.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $374.00 / $602.00	Professional		$321.00	$374.00	$602.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $183.90 / $819.00	Facility		$129.41	$183.90	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $257.24 / $376.21 / $982.00	Professional		$257.24	$376.21	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $342.85 / $624.41	Professional		$220.79	$342.85	$624.41