Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $3,633.00 / $9,539.00	Facility		$244.63	$3,633.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $246.03 / $388.00	Professional		$183.62	$246.03	$388.00
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 $188.69 / $241.30 / $349.25	Professional		$188.69	$241.30	$349.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.92 / $475.14 / $2,413.00	Professional		$227.92	$475.14	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.89 / $347.89 / $347.89	Facility		$347.89	$347.89	$347.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $298.29 / $498.93	Professional		$199.91	$298.29	$498.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $307.83 / $394.78	Professional		$261.66	$307.83	$394.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.89 / $304.50 / $476.16	Facility		$206.89	$304.50	$476.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $407.00 / $512.60	Professional		$354.00	$407.00	$512.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $203.96 / $276.72 / $2,755.00	Facility		$203.96	$276.72	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $268.35 / $366.37 / $2,755.00	Professional		$268.35	$366.37	$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 $213.66 / $284.95 / $495.81	Professional		$213.66	$284.95	$495.81