Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.97 / $4,771.00 / $9,539.00	Facility		$216.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $197.63 / $271.45	Professional		$172.69	$197.63	$271.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $225.19 / $372.30	Professional		$176.09	$225.19	$372.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $224.26 / $437.31	Professional		$224.26	$224.26	$437.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $640.00	Facility		$217.92	$217.92	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $248.05 / $422.45	Professional		$178.90	$248.05	$422.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.83 / $226.85 / $268.10	Professional		$176.83	$226.85	$268.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.50 / $259.02 / $397.06	Facility		$198.50	$259.02	$397.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $271.45 / $362.00	Professional		$240.00	$271.45	$362.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $255.22 / $1,227.00	Facility		$184.85	$255.22	$1,227.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $255.22 / $1,227.00	Professional		$184.85	$255.22	$1,227.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $244.99 / $419.77	Professional		$154.66	$244.99	$419.77