Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $4,196.00 / $10,767.00	Facility		$144.69	$4,196.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $134.24 / $245.98	Professional		$114.98	$134.24	$245.98
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 $110.33 / $141.09 / $193.50	Professional		$110.33	$141.09	$193.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $186.77 / $4,284.00	Professional		$129.69	$186.77	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $158.69 / $295.75	Professional		$116.54	$158.69	$295.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.70 / $136.44 / $168.28	Professional		$113.70	$136.44	$168.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $158.65 / $238.28	Facility		$132.56	$158.65	$238.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $172.00 / $280.63	Professional		$149.63	$172.00	$280.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $118.49 / $156.47 / $3,512.00	Facility		$118.49	$156.47	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $156.47 / $3,512.00	Professional		$118.49	$156.47	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $154.47 / $256.49	Professional		$96.30	$154.47	$256.49