Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.25 / $2,190.00 / $8,294.00	Facility		$283.25	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $238.86 / $319.44	Professional		$174.29	$238.86	$319.44
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 $178.82 / $256.74 / $393.73	Professional		$178.82	$256.74	$393.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $194.50 / $390.94	Professional		$187.81	$194.50	$390.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $320.00 / $610.00	Facility		$276.48	$320.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $278.55 / $475.17	Professional		$187.33	$278.55	$475.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.17 / $308.44 / $445.53	Professional		$246.17	$308.44	$445.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.64 / $292.76 / $450.37	Facility		$197.64	$292.76	$450.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $355.00 / $489.00	Professional		$301.00	$355.00	$489.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $229.25 / $415.86	Facility		$180.03	$229.25	$415.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $252.86 / $315.98 / $606.91	Professional		$252.86	$315.98	$606.91
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 $200.12 / $294.29 / $486.82	Professional		$200.12	$294.29	$486.82