Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $4,771.00 / $9,539.00	Facility		$275.64	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.52 / $275.64 / $305.97	Professional		$235.52	$275.64	$305.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $280.60 / $384.84	Professional		$219.42	$280.60	$384.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.04 / $323.72 / $563.63	Professional		$289.04	$323.72	$563.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $338.18 / $614.13	Professional		$236.20	$338.18	$614.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.47 / $265.76 / $327.78	Professional		$221.47	$265.76	$327.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $338.28 / $494.68	Facility		$275.64	$338.28	$494.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $351.00 / $546.62	Professional		$306.00	$351.00	$546.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $333.03 / $1,621.00	Facility		$249.95	$333.03	$1,621.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $333.03 / $1,621.00	Professional		$249.95	$333.03	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.24 / $346.85 / $539.27	Professional		$202.24	$346.85	$539.27