Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.02 / $4,771.00 / $10,767.00	Facility		$267.02	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $267.02 / $393.93	Professional		$217.79	$267.02	$393.93
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 $226.80 / $290.02 / $402.73	Professional		$226.80	$290.02	$402.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $568.09 / $2,413.00	Professional		$276.45	$568.09	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.62 / $412.62 / $412.62	Facility		$412.62	$412.62	$412.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.23 / $350.87 / $548.85	Professional		$239.23	$350.87	$548.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $336.13 / $430.10	Professional		$285.70	$336.13	$430.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $240.07 / $349.96 / $564.51	Facility		$240.07	$349.96	$564.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $430.00 / $578.87	Professional		$381.00	$430.00	$578.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.76 / $325.83 / $2,755.00	Facility		$234.76	$325.83	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $390.35 / $2,755.00	Professional		$290.62	$390.35	$2,755.00
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 $224.81 / $304.89 / $546.30	Professional		$224.81	$304.89	$546.30