Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.60 / $3,832.00 / $8,294.00	Facility		$211.60	$3,832.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $220.23 / $299.68	Professional		$116.67	$220.23	$299.68
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 $112.33 / $145.79 / $236.18	Professional		$112.33	$145.79	$236.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $133.22 / $1,490.00	Professional		$133.22	$133.22	$1,490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.15 / $207.15	Facility		$207.15	$207.15	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $252.96 / $493.33	Professional		$136.28	$252.96	$493.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.60 / $309.06 / $381.17	Professional		$256.60	$309.06	$381.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $284.91 / $456.11	Facility		$134.94	$284.91	$456.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $315.29 / $348.00 / $634.00	Professional		$315.29	$348.00	$634.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $180.70 / $302.55	Facility		$129.83	$180.70	$302.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $376.97 / $657.69	Professional		$283.83	$376.97	$657.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.96 / $368.84 / $568.10	Professional		$239.96	$368.84	$568.10