Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $4,390.00 / $8,294.00	Facility		$155.57	$4,390.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $257.70 / $387.04	Professional		$138.93	$257.70	$387.04
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 $119.55 / $152.88 / $209.67	Professional		$119.55	$152.88	$209.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $200.97 / $3,426.00	Professional		$139.66	$200.97	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $286.25 / $553.58	Professional		$137.53	$286.25	$553.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $339.47 / $420.54	Professional		$282.89	$339.47	$420.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.25 / $285.88 / $482.70	Facility		$145.25	$285.88	$482.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $407.86 / $629.00	Professional		$307.00	$407.86	$629.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $164.46 / $1,683.00	Facility		$124.45	$164.46	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $394.81 / $1,683.00	Professional		$264.68	$394.81	$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 $233.21 / $359.12 / $674.67	Professional		$233.21	$359.12	$674.67