Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.05 / $3,484.00 / $8,294.00	Facility		$265.05	$3,484.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $225.28 / $269.33	Professional		$186.59	$225.28	$269.33
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 $173.80 / $225.58 / $372.95	Professional		$173.80	$225.58	$372.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $202.27 / $3,019.00	Professional		$202.27	$202.27	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $572.00	Facility		$327.19	$327.19	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.74 / $277.20 / $481.50	Professional		$194.74	$277.20	$481.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.75 / $313.62 / $370.64	Professional		$244.75	$313.62	$370.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $280.85 / $433.01	Facility		$196.00	$280.85	$433.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $326.00 / $448.00	Professional		$286.00	$326.00	$448.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.77 / $247.66 / $1,134.63	Facility		$185.77	$247.66	$1,134.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $240.95 / $315.10 / $1,158.50	Professional		$240.95	$315.10	$1,158.50
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 $181.62 / $297.48 / $497.54	Professional		$181.62	$297.48	$497.54