Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.56 / $5,360.00 / $9,539.00	Facility		$292.56	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $269.73 / $368.63	Professional		$231.05	$269.73	$368.63
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 $229.57 / $293.57 / $417.19	Professional		$229.57	$293.57	$417.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $267.30 / $545.38	Professional		$266.04	$267.30	$545.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $988.00 / $1,568.92	Facility		$280.11	$988.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.89 / $321.22 / $529.17	Professional		$243.89	$321.22	$529.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.94 / $297.43 / $420.28	Professional		$237.94	$297.43	$420.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.22 / $321.98 / $483.21	Facility		$257.22	$321.98	$483.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $341.00 / $583.32	Professional		$301.00	$341.00	$583.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $313.13 / $569.66	Facility		$246.77	$313.13	$569.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $313.13 / $569.66	Professional		$246.77	$313.13	$569.66
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,978.00 / $12,680.00	Facility		$908.00	$5,978.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $297.70 / $469.62	Professional		$193.28	$297.70	$469.62