Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.70 / $4,771.00 / $9,539.00	Facility		$267.70	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $267.70 / $324.36	Professional		$222.79	$267.70	$324.36
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 $218.11 / $274.70 / $390.39	Professional		$218.11	$274.70	$390.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $259.10 / $505.25	Professional		$259.10	$259.10	$505.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $526.00 / $925.00	Facility		$267.61	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $301.37 / $536.77	Professional		$228.83	$301.37	$536.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $271.85 / $390.74	Professional		$217.48	$271.85	$390.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.99 / $309.06 / $439.24	Facility		$240.99	$309.06	$439.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $326.52 / $442.00	Professional		$289.39	$326.52	$442.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.74 / $294.41 / $513.51	Facility		$237.74	$294.41	$513.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $294.41 / $513.51	Professional		$237.74	$294.41	$513.51
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 $181.36 / $271.85 / $453.56	Professional		$181.36	$271.85	$453.56