Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $3,633.00 / $8,294.00	Facility		$221.74	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $179.16 / $268.02	Professional		$144.85	$179.16	$268.02
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 $127.77 / $204.07 / $302.45	Professional		$127.77	$204.07	$302.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $209.09 / $4,716.00	Professional		$144.05	$209.09	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $232.27 / $394.37	Professional		$144.27	$232.27	$394.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $246.37 / $303.86	Professional		$205.31	$246.37	$303.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $242.16 / $380.60	Facility		$147.97	$242.16	$380.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $291.00 / $419.00	Professional		$255.00	$291.00	$419.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.03 / $175.72 / $3,512.00	Facility		$131.03	$175.72	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $275.42 / $3,512.00	Professional		$209.56	$275.42	$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 $171.21 / $289.42 / $455.98	Professional		$171.21	$289.42	$455.98