Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.38 / $4,771.00 / $9,539.00	Facility		$209.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $209.38 / $293.20	Professional		$165.46	$209.38	$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 $181.28 / $246.44 / $420.84	Professional		$181.28	$246.44	$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 / $342.63	Facility		$192.25	$239.30	$342.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $253.00 / $454.00	Professional		$230.00	$253.00	$454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $253.53 / $3,658.00	Facility		$190.32	$253.53	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $253.53 / $3,658.00	Professional		$190.32	$253.53	$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 / $261.49 / $401.81	Professional		$162.00	$261.49	$401.81