Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.07 / $2,190.00 / $8,294.00	Facility		$251.07	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $211.23 / $278.25	Professional		$152.74	$211.23	$278.25
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 $142.59 / $182.35 / $301.47	Professional		$142.59	$182.35	$301.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $171.54 / $2,012.00	Professional		$168.13	$171.54	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $420.00	Facility		$265.33	$265.33	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $265.17 / $439.00	Professional		$159.46	$265.17	$439.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.96 / $290.51 / $342.54	Professional		$226.96	$290.51	$342.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $272.00 / $458.45	Facility		$171.59	$272.00	$458.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $361.59 / $445.00	Professional		$299.00	$361.59	$445.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.51 / $204.36 / $1,118.24	Facility		$149.51	$204.36	$1,118.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $350.70 / $1,141.76	Professional		$241.06	$350.70	$1,141.76
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.45 / $314.42 / $515.49	Professional		$195.45	$314.42	$515.49