Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.51 / $3,226.00 / $8,294.00	Facility		$210.51	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $210.51 / $310.25	Professional		$177.30	$210.51	$310.25
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 $195.60 / $248.70 / $351.44	Professional		$195.60	$248.70	$351.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $319.00 / $1,013.00	Professional		$241.65	$319.00	$1,013.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.95 / $363.95 / $363.95	Facility		$363.95	$363.95	$363.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $277.89 / $444.14	Professional		$199.69	$277.89	$444.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.06 / $269.48 / $342.87	Professional		$229.06	$269.48	$342.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.63 / $283.49 / $419.33	Facility		$209.63	$283.49	$419.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $334.00 / $455.16	Professional		$299.00	$334.00	$455.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $192.59 / $271.16 / $1,380.00	Facility		$192.59	$271.16	$1,380.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $299.69 / $1,380.00	Professional		$231.68	$299.69	$1,380.00
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $819.00 / $2,364.00	Facility		$217.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $232.34 / $396.43	Professional		$169.70	$232.34	$396.43