Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.28 / $1,731.00 / $8,294.00	Facility		$148.28	$1,731.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $130.25 / $225.83	Professional		$83.21	$130.25	$225.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $120.75 / $176.05	Professional		$80.31	$120.75	$176.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $145.10 / $2,413.00	Professional		$88.33	$145.10	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $143.32 / $237.75	Professional		$91.59	$143.32	$237.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $144.31 / $177.98	Professional		$120.26	$144.31	$177.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.53 / $153.01 / $230.94	Facility		$103.53	$153.01	$230.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $194.04 / $245.00	Professional		$162.00	$194.04	$245.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $118.84 / $2,251.00	Facility		$89.89	$118.84	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.81 / $177.02 / $2,251.00	Professional		$134.81	$177.02	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $183.16 / $258.26	Professional		$118.29	$183.16	$258.26