Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.07 / $3,991.00 / $8,920.00	Facility		$266.07	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.43 / $266.07 / $326.45	Professional		$225.43	$266.07	$326.45
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 $205.04 / $268.02 / $392.02	Professional		$205.04	$268.02	$392.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.99 / $254.57 / $496.41	Professional		$250.99	$254.57	$496.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $526.00 / $1,035.00	Facility		$259.94	$526.00	$1,035.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $323.16 / $575.66	Professional		$226.76	$323.16	$575.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $260.08 / $381.50	Professional		$216.74	$260.08	$381.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.08 / $310.52 / $443.07	Facility		$235.08	$310.52	$443.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $327.00 / $592.00	Professional		$296.00	$327.00	$592.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $316.38 / $555.04	Facility		$238.84	$316.38	$555.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $238.84 / $316.38 / $555.04	Professional		$238.84	$316.38	$555.04
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 $192.30 / $298.58 / $463.41	Professional		$192.30	$298.58	$463.41