Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.70 / $1,630.00 / $7,011.70	Facility		$297.70	$1,630.00	$7,011.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $282.55 / $487.05	Professional		$197.32	$282.55	$487.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $234.85 / $331.32	Professional		$178.90	$234.85	$331.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $276.98 / $2,413.00	Professional		$208.11	$276.98	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $294.91 / $446.66	Professional		$201.43	$294.91	$446.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.91 / $250.69 / $309.19	Professional		$208.91	$250.69	$309.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $286.50 / $432.54	Facility		$219.39	$286.50	$432.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $46.82 / $55.24 / $62.65	Facility	AS	$46.82	$55.24	$62.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $358.05 / $489.00	Professional		$275.00	$358.05	$489.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.92 / $259.91 / $2,251.00	Facility		$188.92	$259.91	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $348.21 / $2,251.00	Professional		$235.69	$348.21	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $6,491.00	Facility		$1,911.00	$3,276.00	$6,491.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $340.29 / $488.90	Professional		$197.90	$340.29	$488.90