Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $4,390.00 / $8,920.00	Facility		$163.06	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $249.46 / $321.75	Professional		$142.41	$249.46	$321.75
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 $140.91 / $247.93 / $371.68	Professional		$140.91	$247.93	$371.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $186.74 / $916.00	Professional		$129.68	$186.74	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $267.67 / $506.85	Professional		$150.82	$267.67	$506.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.23 / $306.27 / $377.74	Professional		$255.23	$306.27	$377.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.05 / $266.37 / $436.19	Facility		$163.05	$266.37	$436.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $367.00 / $570.35	Professional		$285.00	$367.00	$570.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $193.83 / $5,122.00	Facility		$140.87	$193.83	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $220.95 / $361.28 / $5,122.00	Professional		$220.95	$361.28	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $369.57 / $587.53	Professional		$163.54	$369.57	$587.53