Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.89 / $3,633.00 / $8,920.00	Facility		$270.89	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $272.61 / $418.47	Professional		$250.18	$272.61	$418.47
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 $250.43 / $325.01 / $448.98	Professional		$250.43	$325.01	$448.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.18 / $286.18 / $329.11	Professional		$286.18	$286.18	$329.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $239.05 / $484.05	Facility		$152.13	$239.05	$484.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.76 / $306.14 / $565.86	Professional		$255.76	$306.14	$565.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $322.85 / $381.53	Professional		$283.57	$322.85	$381.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $212.30 / $286.79 / $407.88	Facility		$212.30	$286.79	$407.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $339.48 / $424.40 / $655.37	Professional		$339.48	$424.40	$655.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $260.38 / $353.11 / $1,241.52	Facility		$260.38	$353.11	$1,241.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $260.38 / $353.11 / $1,241.52	Professional		$260.38	$353.11	$1,241.52
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 $208.20 / $292.02 / $508.69	Professional		$208.20	$292.02	$508.69