Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.53 / $2,190.00 / $8,294.00	Facility		$253.53	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $290.83 / $555.23	Professional		$220.20	$290.83	$555.23
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 $205.32 / $258.58 / $387.92	Professional		$205.32	$258.58	$387.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $248.95 / $1,031.06	Professional		$230.23	$248.95	$1,031.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $610.00 / $1,787.47	Facility		$251.53	$610.00	$1,787.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $397.34 / $585.48	Professional		$228.60	$397.34	$585.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $247.71 / $525.00	Professional		$205.27	$247.71	$525.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.23 / $367.63 / $620.60	Facility		$249.23	$367.63	$620.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $505.63 / $625.00	Professional		$400.00	$505.63	$625.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $248.44 / $422.08 / $574.17	Facility		$248.44	$422.08	$574.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $248.44 / $422.08 / $574.17	Professional		$248.44	$422.08	$574.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,291.00 / $17,192.00	Facility		$1,236.00	$8,291.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $329.35 / $538.64	Professional		$186.51	$329.35	$538.64