Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.43 / $3,633.00 / $8,294.00	Facility		$233.43	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $236.79 / $345.26	Professional		$150.32	$236.79	$345.26
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 $131.66 / $247.43 / $374.41	Professional		$131.66	$247.43	$374.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $207.52 / $2,413.00	Professional		$144.11	$207.52	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $271.43 / $509.08	Professional		$155.38	$271.43	$509.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $307.20 / $378.89	Professional		$256.01	$307.20	$378.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.16 / $301.72 / $497.11	Facility		$157.16	$301.72	$497.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.18 / $355.00 / $513.00	Professional		$308.18	$355.00	$513.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $196.04 / $819.00	Facility		$147.47	$196.04	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $340.14 / $982.00	Professional		$248.27	$340.14	$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 $212.48 / $329.58 / $603.63	Professional		$212.48	$329.58	$603.63