Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.54 / $2,190.00 / $8,294.00	Facility		$333.54	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $251.62 / $339.20	Professional		$128.81	$251.62	$339.20
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 $130.30 / $166.63 / $275.48	Professional		$130.30	$166.63	$275.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $172.73 / $2,635.00	Professional		$157.03	$172.73	$2,635.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $420.00	Facility		$239.86	$239.86	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $299.62 / $536.27	Professional		$145.44	$299.62	$536.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $378.40 / $447.20	Professional		$292.39	$378.40	$447.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $322.55 / $563.67	Facility		$155.69	$322.55	$563.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $425.00 / $567.00	Professional		$367.00	$425.00	$567.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.40 / $184.73 / $780.00	Facility		$136.40	$184.73	$780.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $300.19 / $420.00 / $1,171.00	Professional		$300.19	$420.00	$1,171.00
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 $248.28 / $404.23 / $611.25	Professional		$248.28	$404.23	$611.25