Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.99 / $3,633.00 / $8,294.00	Facility		$227.99	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $183.98 / $259.41	Professional		$147.96	$183.98	$259.41
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 $132.72 / $201.51 / $301.04	Professional		$132.72	$201.51	$301.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $202.72 / $1,013.00	Professional		$140.78	$202.72	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $235.01 / $397.77	Professional		$139.11	$235.01	$397.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $238.32 / $293.93	Professional		$198.60	$238.32	$293.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.32 / $245.07 / $384.11	Facility		$153.32	$245.07	$384.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $297.00 / $433.00	Professional		$262.00	$297.00	$433.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.93 / $175.95 / $819.00	Facility		$132.93	$175.95	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $204.60 / $274.39 / $895.50	Professional		$204.60	$274.39	$895.50
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 $172.56 / $278.25 / $459.58	Professional		$172.56	$278.25	$459.58