Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.70 / $3,991.00 / $8,920.00	Facility		$263.70	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $263.70 / $323.20	Professional		$223.44	$263.70	$323.20
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 $210.94 / $265.67 / $388.56	Professional		$210.94	$265.67	$388.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $248.80 / $252.31 / $492.00	Professional		$248.80	$252.31	$492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $610.00 / $1,035.00	Facility		$257.64	$610.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $321.45 / $570.46	Professional		$224.78	$321.45	$570.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $257.76 / $378.18	Professional		$214.80	$257.76	$378.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $232.95 / $307.70 / $439.18	Facility		$232.95	$307.70	$439.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $324.00 / $586.00	Professional		$293.00	$324.00	$586.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $236.68 / $313.57 / $550.02	Facility		$236.68	$313.57	$550.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $313.57 / $550.02	Professional		$236.68	$313.57	$550.02
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 $190.39 / $286.86 / $456.36	Professional		$190.39	$286.86	$456.36