Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $2,561.00 / $8,294.00	Facility		$156.44	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.72 / $298.04 / $469.20	Professional		$152.72	$298.04	$469.20
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 $121.70 / $155.63 / $213.44	Professional		$121.70	$155.63	$213.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $207.24 / $1,013.00	Professional		$138.51	$207.24	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $309.86 / $644.54	Professional		$144.15	$309.86	$644.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.27 / $428.72 / $529.86	Professional		$357.27	$428.72	$529.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $331.88 / $625.61	Facility		$156.44	$331.88	$625.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $428.00 / $716.57	Professional		$332.00	$428.00	$716.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $181.99 / $819.00	Facility		$139.72	$181.99	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.88 / $437.54 / $982.00	Professional		$274.88	$437.54	$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 $269.02 / $376.64 / $719.91	Professional		$269.02	$376.64	$719.91