Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $4,771.00 / $9,539.00	Facility		$148.21	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $148.21 / $210.16	Professional		$123.54	$148.21	$210.16
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 $117.24 / $149.27 / $208.05	Professional		$117.24	$149.27	$208.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $170.67 / $332.81	Professional		$155.38	$170.67	$332.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $186.00 / $356.26	Professional		$127.80	$186.00	$356.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $144.37 / $178.06	Professional		$120.31	$144.37	$178.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $181.90 / $308.36	Facility		$145.00	$181.90	$308.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $189.00 / $324.00	Professional		$165.00	$189.00	$324.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $192.98 / $3,658.00	Facility		$135.63	$192.98	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $192.98 / $3,658.00	Professional		$135.63	$192.98	$3,658.00
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 $115.29 / $203.46 / $363.61	Professional		$115.29	$203.46	$363.61