Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.16 / $5,087.00 / $8,925.00	Facility		$233.16	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $233.16 / $259.60	Professional		$201.48	$233.16	$259.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $230.30 / $315.85	Professional		$180.09	$230.30	$315.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.81 / $358.72 / $5,354.00	Professional		$223.81	$358.72	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $299.74 / $523.70	Professional		$198.09	$299.74	$523.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.47 / $223.76 / $275.98	Professional		$186.47	$223.76	$275.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $221.15 / $280.39 / $399.77	Facility		$221.15	$280.39	$399.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $293.66 / $544.00	Professional		$261.00	$293.66	$544.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $227.54 / $290.95 / $5,122.00	Facility		$227.54	$290.95	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $290.95 / $5,122.00	Professional		$227.54	$290.95	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $310.74 / $454.17	Professional		$177.34	$310.74	$454.17