Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $3,226.00 / $8,294.00	Facility		$178.03	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $225.11 / $285.52	Professional		$151.09	$225.11	$285.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $183.53 / $303.43	Professional		$143.52	$183.53	$303.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $178.63 / $1,757.00	Professional		$174.29	$178.63	$1,757.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.50 / $261.50 / $420.00	Facility		$261.50	$261.50	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $261.58 / $470.06	Professional		$159.88	$261.58	$470.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $313.61 / $370.63	Professional		$242.34	$313.61	$370.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $275.82 / $433.10	Facility		$161.41	$275.82	$433.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.00 / $365.00 / $473.00	Professional		$309.00	$365.00	$473.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.99 / $198.97 / $1,171.00	Facility		$147.99	$198.97	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.23 / $322.23 / $1,171.00	Professional		$224.23	$322.23	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $1,890.00 / $3,765.00	Facility		$921.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $291.10 / $497.30	Professional		$196.19	$291.10	$497.30