Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.13 / $4,196.00 / $8,920.00	Facility		$238.13	$4,196.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $216.40 / $404.83	Professional		$173.40	$216.40	$404.83
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 $183.90 / $238.16 / $336.66	Professional		$183.90	$238.16	$336.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $218.01 / $439.80	Professional		$216.65	$218.01	$439.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $988.00 / $1,568.92	Facility		$226.54	$988.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $253.59 / $443.36	Professional		$190.76	$253.59	$443.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $240.79 / $336.23	Professional		$192.63	$240.79	$336.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.84 / $257.00 / $384.34	Facility		$201.84	$257.00	$384.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $272.00 / $473.40	Professional		$228.00	$272.00	$473.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.49 / $239.73 / $457.34	Facility		$195.49	$239.73	$457.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $239.73 / $457.34	Professional		$195.49	$239.73	$457.34
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $240.79 / $370.22	Professional		$152.62	$240.79	$370.22