Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,248.00 / $3,673.00	Facility		$525.00	$2,248.00	$3,673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $400.00 / $525.00	Professional		$206.79	$400.00	$525.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.16 / $767.34 / $935.47	Facility		$627.16	$767.34	$935.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $236.83 / $406.24	Professional		$188.08	$236.83	$406.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.85 / $279.29 / $354.62	Professional		$271.85	$279.29	$354.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $650.99 / $866.73	Facility		$228.17	$650.99	$866.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $294.73 / $530.17	Professional		$184.53	$294.73	$530.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.34 / $229.61 / $281.39	Professional		$191.34	$229.61	$281.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $365.66 / $682.50	Facility		$250.00	$365.66	$682.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $205.42 / $365.21	Professional		$118.00	$205.42	$365.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $187.19 / $375.22	Facility		$106.52	$187.19	$375.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $264.32 / $434.83	Professional		$114.69	$264.32	$434.83
United Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $277.58 / $466.28	Professional		$176.10	$277.58	$466.28