Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.55 / $5,048.00 / $10,767.00	Facility		$279.55	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $279.55 / $684.97	Professional		$232.63	$279.55	$684.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.40 / $250.61 / $381.90	Professional		$197.40	$250.61	$381.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $378.63 / $671.89	Professional		$340.77	$378.63	$671.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $526.00 / $925.00	Facility		$297.22	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.17 / $339.64 / $597.51	Professional		$253.17	$339.64	$597.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.92 / $281.89 / $409.86	Professional		$234.92	$281.89	$409.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.41 / $318.08 / $499.87	Facility		$251.41	$318.08	$499.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $425.00 / $2,639.00	Professional		$342.71	$425.00	$2,639.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.34 / $289.83 / $513.16	Facility		$222.34	$289.83	$513.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $222.34 / $289.83 / $513.16	Professional		$222.34	$289.83	$513.16
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $287.99 / $531.53	Professional		$165.75	$287.99	$531.53