Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.74 / $4,771.00 / $9,539.00	Facility		$209.74	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.23 / $209.74 / $293.20	Professional		$168.23	$209.74	$293.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $207.27 / $288.89	Professional		$162.80	$207.27	$288.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $242.60 / $473.07	Professional		$196.27	$242.60	$473.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $249.16 / $420.84	Professional		$182.47	$249.16	$420.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $201.50 / $248.52	Professional		$167.92	$201.50	$248.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $239.30 / $344.73	Facility		$192.25	$239.30	$344.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $259.00 / $461.00	Professional		$236.00	$259.00	$461.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $260.27 / $3,658.00	Facility		$193.06	$260.27	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $193.06 / $260.27 / $3,658.00	Professional		$193.06	$260.27	$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 $162.00 / $271.70 / $401.81	Professional		$162.00	$271.70	$401.81