Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $3,484.00 / $8,294.00	Facility		$342.65	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $263.22 / $388.35	Professional		$177.90	$263.22	$388.35
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 $180.66 / $289.80 / $454.33	Professional		$180.66	$289.80	$454.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $198.55 / $398.00	Professional		$198.01	$198.55	$398.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $308.79 / $610.00	Facility		$125.70	$308.79	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $301.00 / $545.04	Professional		$187.98	$301.00	$545.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $367.08 / $522.09	Professional		$293.66	$367.08	$522.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.78 / $310.16 / $529.30	Facility		$199.78	$310.16	$529.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $380.00 / $582.00	Professional		$300.00	$380.00	$582.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $182.48 / $225.41 / $420.72	Facility		$182.48	$225.41	$420.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.12 / $363.92 / $731.98	Professional		$249.12	$363.92	$731.98
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $314.22 / $568.63	Professional		$196.20	$314.22	$568.63