Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.60 / $4,771.00 / $9,539.00	Facility		$266.60	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $266.60 / $372.82	Professional		$230.73	$266.60	$372.82
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 $207.45 / $264.12 / $368.13	Professional		$207.45	$264.12	$368.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.08 / $306.97 / $598.59	Professional		$250.08	$306.97	$598.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $316.43 / $533.07	Professional		$231.39	$316.43	$533.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $255.60 / $315.24	Professional		$213.00	$255.60	$315.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $303.04 / $437.89	Facility		$243.80	$303.04	$437.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $329.00 / $585.00	Professional		$299.00	$329.00	$585.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.85 / $330.61 / $3,658.00	Facility		$245.85	$330.61	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $330.61 / $3,658.00	Professional		$245.85	$330.61	$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 $205.13 / $345.00 / $508.77	Professional		$205.13	$345.00	$508.77