Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.50 / $4,390.00 / $8,920.00	Facility		$218.50	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $218.50 / $238.33	Professional		$188.41	$218.50	$238.33
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 $178.55 / $228.33 / $313.14	Professional		$178.55	$228.33	$313.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $312.45 / $916.00	Professional		$214.92	$312.45	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $265.41 / $486.84	Professional		$193.25	$265.41	$486.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $221.75 / $273.49	Professional		$184.79	$221.75	$273.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.50 / $264.82 / $399.86	Facility		$218.50	$264.82	$399.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $277.00 / $452.83	Professional		$244.00	$277.00	$452.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $198.14 / $259.83 / $3,512.00	Facility		$198.14	$259.83	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $259.83 / $3,512.00	Professional		$198.14	$259.83	$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 $158.53 / $280.54 / $418.83	Professional		$158.53	$280.54	$418.83