Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $4,771.00 / $9,539.00	Facility		$265.16	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.46 / $265.16 / $372.82	Professional		$221.46	$265.16	$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 $226.27 / $310.32 / $533.07	Professional		$226.27	$310.32	$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 / $435.52	Facility		$243.80	$303.04	$435.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $330.00 / $587.00	Professional		$297.00	$330.00	$587.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $238.51 / $314.83 / $3,658.00	Facility		$238.51	$314.83	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $314.83 / $3,658.00	Professional		$238.51	$314.83	$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 / $334.42 / $520.63	Professional		$205.13	$334.42	$520.63