Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.21 / $2,561.00 / $8,294.00	Facility		$247.21	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $219.28 / $391.09	Professional		$128.11	$219.28	$391.09
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 $141.36 / $180.78 / $247.93	Professional		$141.36	$180.78	$247.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $252.17 / $3,026.00	Professional		$168.40	$252.17	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $248.33 / $409.14	Professional		$151.61	$248.33	$409.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $248.78 / $308.35	Professional		$207.32	$248.78	$308.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.08 / $254.42 / $397.31	Facility		$165.08	$254.42	$397.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $315.00 / $473.00	Professional		$276.00	$315.00	$473.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $186.23 / $1,683.00	Facility		$133.83	$186.23	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $288.41 / $1,683.00	Professional		$195.52	$288.41	$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 $173.97 / $287.88 / $493.98	Professional		$173.97	$287.88	$493.98