Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.39 / $3,991.00 / $8,920.00	Facility		$175.39	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $175.39 / $244.43	Professional		$143.31	$175.39	$244.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $183.92 / $252.24	Professional		$143.82	$183.92	$252.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $261.10 / $2,315.00	Professional		$181.32	$261.10	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $209.86 / $389.44	Professional		$155.47	$209.86	$389.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $178.22 / $219.81	Professional		$148.52	$178.22	$219.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.39 / $209.99 / $319.52	Facility		$175.39	$209.99	$319.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $222.00 / $364.63	Professional		$196.00	$222.00	$364.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $206.60 / $805.00	Facility		$158.50	$206.60	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.50 / $206.60 / $805.00	Professional		$158.50	$206.60	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.82 / $224.40 / $335.71	Professional		$126.82	$224.40	$335.71