Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.77 / $3,633.00 / $8,294.00	Facility		$255.77	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $260.36 / $382.01	Professional		$157.43	$260.36	$382.01
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 $147.51 / $277.19 / $419.45	Professional		$147.51	$277.19	$419.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $273.72 / $3,774.00	Professional		$165.74	$273.72	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $305.61 / $552.28	Professional		$174.15	$305.61	$552.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.07 / $345.68 / $426.34	Professional		$288.07	$345.68	$426.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.64 / $336.03 / $548.95	Facility		$176.64	$336.03	$548.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $348.31 / $409.00 / $579.70	Professional		$348.31	$409.00	$579.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $166.82 / $219.01 / $1,683.00	Facility		$166.82	$219.01	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $280.30 / $382.32 / $1,683.00	Professional		$280.30	$382.32	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,827.00 / $5,790.00	Facility		$1,629.00	$2,827.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.94 / $378.92 / $654.85	Professional		$236.94	$378.92	$654.85