Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $4,771.00 / $9,539.00	Facility		$226.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $197.30 / $226.68	Professional		$181.85	$197.30	$226.68
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 $185.93 / $237.77 / $326.10	Professional		$185.93	$237.77	$326.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.18 / $319.00 / $3,026.00	Professional		$223.18	$319.00	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $268.89 / $501.40	Professional		$195.00	$268.89	$501.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.23 / $223.48 / $275.62	Professional		$186.23	$223.48	$275.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $278.19 / $414.82	Facility		$197.30	$278.19	$414.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $289.00 / $460.97	Professional		$254.00	$289.00	$460.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $272.75 / $863.74	Facility		$203.22	$272.75	$863.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $272.75 / $863.74	Professional		$203.22	$272.75	$863.74
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $282.22 / $443.26	Professional		$166.43	$282.22	$443.26