Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.56 / $1,864.00 / $8,294.00	Facility		$204.56	$1,864.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $364.13 / $954.00	Professional		$154.87	$364.13	$954.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $520.05 / $1,021.39	Professional		$159.44	$520.05	$1,021.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $178.47 / $346.00	Professional		$161.60	$178.47	$346.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.20 / $429.48 / $1,152.55	Professional		$166.20	$429.48	$1,152.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.37 / $769.64 / $949.23	Professional		$641.37	$769.64	$949.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $684.31 / $1,171.14	Facility		$191.44	$684.31	$1,171.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $703.00 / $714.00 / $1,276.00	Professional		$703.00	$714.00	$1,276.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $213.31 / $406.22	Facility		$166.14	$213.31	$406.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $657.21 / $847.30 / $1,634.69	Professional		$657.21	$847.30	$1,634.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.29 / $823.51 / $1,438.09	Professional		$567.29	$823.51	$1,438.09