Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.97 / $3,645.00 / $8,920.00	Facility		$199.97	$3,645.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $199.97 / $222.13	Professional		$170.86	$199.97	$222.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,714.00 / $9,239.00 / $22,034.00	Facility		$6,714.00	$9,239.00	$22,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $194.93 / $267.33	Professional		$152.43	$194.93	$267.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $271.04 / $3,426.00	Professional		$180.46	$271.04	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.34 / $236.32 / $443.45	Professional		$168.34	$236.32	$443.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $190.16 / $234.54	Professional		$158.47	$190.16	$234.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.16 / $241.84 / $356.83	Facility		$187.16	$241.84	$356.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $255.00 / $390.00	Professional		$223.00	$255.00	$390.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $238.15 / $1,683.00	Facility		$180.47	$238.15	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $238.15 / $1,683.00	Professional		$180.47	$238.15	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,365.06 / $8,041.71	Facility		$1,911.00	$3,365.06	$8,041.71
United Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $238.03 / $373.88	Professional		$144.40	$238.03	$373.88