Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.61 / $3,645.00 / $8,920.00	Facility		$419.61	$3,645.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.36 / $419.61 / $657.84	Professional		$265.36	$419.61	$657.84
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 $198.22 / $253.49 / $419.09	Professional		$198.22	$253.49	$419.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $453.28 / $2,764.00	Professional		$232.18	$453.28	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.05 / $354.05 / $354.05	Facility		$354.05	$354.05	$354.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $458.75 / $884.62	Professional		$226.44	$458.75	$884.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.34 / $296.87 / $376.36	Professional		$252.34	$296.87	$376.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.30 / $506.68 / $870.00	Facility		$254.30	$506.68	$870.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $657.00 / $774.58	Professional		$502.00	$657.00	$774.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $272.39 / $572.37 / $1,578.00	Facility		$272.39	$572.37	$1,578.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $618.62 / $1,578.00	Professional		$314.80	$618.62	$1,578.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.57 / $493.33 / $925.05	Professional		$345.57	$493.33	$925.05