Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.63 / $2,561.00 / $8,294.00	Facility		$237.63	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $237.63 / $280.38	Professional		$175.44	$237.63	$280.38
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 $206.35 / $275.17 / $398.39	Professional		$206.35	$275.17	$398.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $335.95 / $916.00	Professional		$232.91	$335.95	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.44 / $309.31 / $568.89	Professional		$216.44	$309.31	$568.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $292.32 / $360.53	Professional		$243.60	$292.32	$360.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.73 / $308.92 / $451.42	Facility		$220.73	$308.92	$451.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $353.00 / $491.40	Professional		$312.00	$353.00	$491.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $290.20 / $917.89	Facility		$220.27	$290.20	$917.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $330.92 / $982.00	Professional		$258.36	$330.92	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,019.00 / $2,375.00	Facility		$231.00	$1,019.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.95 / $354.77 / $554.32	Professional		$206.95	$354.77	$554.32