Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.98 / $3,181.47 / $7,275.00	Facility		$299.98	$3,181.47	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $423.07	Professional		$153.43	$253.59	$423.07
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 $160.96 / $282.00 / $447.84	Professional		$160.96	$282.00	$447.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $179.15 / $363.90	Professional		$177.51	$179.15	$363.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $610.00 / $1,568.92	Facility		$272.91	$610.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $273.82 / $505.00	Professional		$165.89	$273.82	$505.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.04 / $365.05 / $459.69	Professional		$292.04	$365.05	$459.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $174.50 / $294.91 / $490.04	Facility		$174.50	$294.91	$490.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.95 / $358.00 / $552.79	Professional		$299.95	$358.00	$552.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $198.81 / $370.15	Facility		$159.57	$198.81	$370.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $337.07 / $667.63	Professional		$248.40	$337.07	$667.63
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 $206.30 / $310.33 / $522.45	Professional		$206.30	$310.33	$522.45