Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.78 / $1,538.00 / $5,743.00	Facility		$151.78	$1,538.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $232.06 / $454.10	Professional		$103.50	$232.06	$454.10
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 $97.11 / $124.19 / $170.32	Professional		$97.11	$124.19	$170.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $160.69 / $1,013.00	Professional		$110.44	$160.69	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $264.70 / $618.73	Professional		$111.59	$264.70	$618.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.23 / $393.88 / $530.04	Professional		$328.23	$393.88	$530.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.27 / $303.07 / $598.11	Facility		$123.27	$303.07	$598.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $356.00 / $651.00	Professional		$292.00	$356.00	$651.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.28 / $140.22 / $819.00	Facility		$106.28	$140.22	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $414.60 / $982.00	Professional		$249.44	$414.60	$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 $225.66 / $363.89 / $734.44	Professional		$225.66	$363.89	$734.44