Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $4,771.00 / $9,539.00	Facility		$244.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $244.48 / $439.48	Professional		$210.15	$244.48	$439.48
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 $220.04 / $281.39 / $385.92	Professional		$220.04	$281.39	$385.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $319.00 / $916.00	Professional		$263.83	$319.00	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.96 / $307.52 / $592.83	Professional		$226.96	$307.52	$592.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $265.72 / $327.72	Professional		$221.43	$265.72	$327.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $233.77 / $308.41 / $447.40	Facility		$233.77	$308.41	$447.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $321.91 / $534.00	Professional		$272.00	$321.91	$534.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $313.58 / $982.00	Facility		$236.51	$313.58	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $313.58 / $982.00	Professional		$236.51	$313.58	$982.00
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 $196.78 / $320.86 / $524.09	Professional		$196.78	$320.86	$524.09