Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.73 / $3,556.00 / $8,294.00	Facility		$250.73	$3,556.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $181.30 / $281.67	Professional		$140.86	$181.30	$281.67
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 $128.44 / $164.27 / $272.67	Professional		$128.44	$164.27	$272.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $175.44 / $4,039.00	Professional		$153.51	$175.44	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $159.68 / $572.00	Facility		$159.68	$159.68	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $241.37 / $362.48	Professional		$138.76	$241.37	$362.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $170.30 / $196.91	Professional		$133.05	$170.30	$196.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $217.90 / $361.00	Facility		$147.38	$217.90	$361.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $265.00 / $353.00	Professional		$192.00	$265.00	$353.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $252.56 / $1,291.00	Facility		$150.38	$252.56	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $252.56 / $1,291.00	Professional		$150.38	$252.56	$1,291.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.32 / $218.08 / $333.27	Professional		$120.32	$218.08	$333.27