Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $1,630.00 / $5,743.00	Facility		$232.76	$1,630.00	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.22 / $274.30 / $490.99	Professional		$167.22	$274.30	$490.99
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 $170.51 / $284.20 / $450.85	Professional		$170.51	$284.20	$450.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $185.44 / $380.15	Professional		$185.44	$185.44	$380.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $610.00 / $1,572.88	Facility		$296.35	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $300.35 / $524.98	Professional		$179.58	$300.35	$524.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.81 / $366.52 / $523.61	Professional		$295.81	$366.52	$523.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $310.13 / $507.31	Facility		$189.21	$310.13	$507.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $376.00 / $563.54	Professional		$309.00	$376.00	$563.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $217.24 / $402.45	Facility		$172.37	$217.24	$402.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $356.14 / $699.12	Professional		$266.26	$356.14	$699.12
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 $218.20 / $315.80 / $543.11	Professional		$218.20	$315.80	$543.11