Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.43 / $3,484.00 / $8,294.00	Facility		$251.43	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $292.20 / $348.37	Professional		$220.86	$292.20	$348.37
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 $196.34 / $277.08 / $408.77	Professional		$196.34	$277.08	$408.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $332.65 / $2,315.00	Professional		$231.01	$332.65	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $359.37 / $574.95	Professional		$226.71	$359.37	$574.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.94 / $329.93 / $406.91	Professional		$274.94	$329.93	$406.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.43 / $355.82 / $569.11	Facility		$251.43	$355.82	$569.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $458.00 / $779.45	Professional		$389.00	$458.00	$779.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.35 / $290.43 / $891.39	Facility		$219.35	$290.43	$891.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $436.95 / $982.00	Professional		$274.95	$436.95	$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 $243.01 / $410.90 / $647.20	Professional		$243.01	$410.90	$647.20