Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $2,516.00 / $8,294.00	Facility		$262.23	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $299.95 / $428.82	Professional		$216.81	$299.95	$428.82
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 $219.99 / $338.48 / $529.97	Professional		$219.99	$338.48	$529.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.57 / $209.57 / $421.24	Professional		$209.57	$209.57	$421.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.99 / $377.60 / $610.00	Facility		$226.99	$377.60	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.99 / $354.35 / $613.97	Professional		$236.99	$354.35	$613.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $420.64 / $594.71	Professional		$336.51	$420.64	$594.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $366.31 / $576.19	Facility		$236.62	$366.31	$576.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.75 / $435.00 / $655.35	Professional		$369.75	$435.00	$655.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $291.10 / $516.33	Facility		$226.64	$291.10	$516.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $312.97 / $406.70 / $825.24	Professional		$312.97	$406.70	$825.24
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $378.32 / $636.78	Professional		$265.85	$378.32	$636.78