Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.43 / $861.19 / $6,827.70	Facility		$229.43	$861.19	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $278.87 / $474.09	Professional		$189.08	$278.87	$474.09
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 $184.85 / $277.30 / $424.75	Professional		$184.85	$277.30	$424.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $208.54 / $419.17	Professional		$187.90	$208.54	$419.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $320.00 / $610.00	Facility		$193.25	$320.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.45 / $291.64 / $509.01	Professional		$188.45	$291.64	$509.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.07 / $341.34 / $525.00	Professional		$273.07	$341.34	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.65 / $303.91 / $473.57	Facility		$193.65	$303.91	$473.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $368.00 / $528.00	Professional		$300.00	$368.00	$528.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $179.66 / $232.47 / $456.04	Facility		$179.66	$232.47	$456.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.78 / $335.43 / $647.80	Professional		$229.78	$335.43	$647.80
United Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,560.00 / $3,499.00	Facility		$250.00	$1,560.00	$3,499.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $292.18 / $535.98	Professional		$185.18	$292.18	$535.98