Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.07 / $3,633.00 / $8,294.00	Facility		$278.07	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $240.42 / $438.73	Professional		$159.05	$240.42	$438.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $251.34 / $369.59	Professional		$171.05	$251.34	$369.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $193.18 / $3,774.00	Professional		$193.18	$193.18	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.91 / $301.91 / $301.91	Facility		$301.91	$301.91	$301.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $264.77 / $464.26	Professional		$185.95	$264.77	$464.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $309.27 / $368.18	Professional		$274.18	$309.27	$368.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.24 / $245.95 / $356.32	Facility		$169.24	$245.95	$356.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $333.00 / $489.00	Professional		$289.00	$333.00	$489.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $168.82 / $229.60 / $5,502.98	Facility		$168.82	$229.60	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.33 / $316.18 / $5,502.98	Professional		$224.33	$316.18	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $262.13 / $456.01	Professional		$182.47	$262.13	$456.01