Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.26 / $3,226.00 / $8,294.00	Facility		$81.26	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $135.06 / $230.89	Professional		$75.56	$135.06	$230.89
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 $63.31 / $80.95 / $111.03	Professional		$63.31	$80.95	$111.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $113.77 / $3,026.00	Professional		$77.41	$113.77	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $140.22 / $258.85	Professional		$72.95	$140.22	$258.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $158.38 / $195.35	Professional		$131.99	$158.38	$195.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $148.71 / $233.78	Facility		$77.70	$148.71	$233.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $195.00 / $291.00	Professional		$160.91	$195.00	$291.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $89.86 / $1,683.00	Facility		$68.23	$89.86	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.74 / $182.92 / $1,683.00	Professional		$125.74	$182.92	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $174.93 / $289.13	Professional		$111.25	$174.93	$289.13