Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.41 / $5,087.00 / $8,294.00	Facility		$182.41	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $182.41 / $253.91	Professional		$171.72	$182.41	$253.91
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 $160.97 / $208.29 / $344.36	Professional		$160.97	$208.29	$344.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $215.39 / $3,019.00	Professional		$195.81	$215.39	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $640.00	Facility		$199.04	$199.04	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $252.41 / $423.39	Professional		$173.29	$252.41	$423.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $215.10 / $249.34	Professional		$168.05	$215.10	$249.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.05 / $235.13 / $448.44	Facility		$168.05	$235.13	$448.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $264.89 / $416.62	Professional		$232.00	$264.89	$416.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.08 / $244.23 / $1,291.00	Facility		$174.08	$244.23	$1,291.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $255.01 / $1,291.00	Professional		$176.12	$255.01	$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 $137.21 / $244.33 / $381.92	Professional		$137.21	$244.33	$381.92