Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.14 / $3,633.00 / $8,294.00	Facility		$204.14	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $215.02 / $337.04	Professional		$127.88	$215.02	$337.04
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 $118.13 / $232.60 / $370.31	Professional		$118.13	$232.60	$370.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $204.47 / $3,426.00	Professional		$141.99	$204.47	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $257.62 / $489.97	Professional		$133.79	$257.62	$489.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $304.77 / $375.89	Professional		$253.98	$304.77	$375.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.78 / $274.14 / $472.31	Facility		$138.78	$274.14	$472.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $333.00 / $505.00	Professional		$279.22	$333.00	$505.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $163.50 / $1,683.00	Facility		$123.68	$163.50	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.50 / $327.45 / $1,683.00	Professional		$227.50	$327.45	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,365.06 / $5,889.00	Facility		$1,911.00	$3,365.06	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $335.55 / $547.25	Professional		$200.02	$335.55	$547.25