Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $1,938.00 / $8,294.00	Facility		$128.28	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $162.32 / $263.47	Professional		$106.10	$162.32	$263.47
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 $92.94 / $118.33 / $164.93	Professional		$92.94	$118.33	$164.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $165.24 / $2,413.00	Professional		$117.98	$165.24	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $175.34 / $286.89	Professional		$116.21	$175.34	$286.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $174.86 / $215.67	Professional		$145.72	$174.86	$215.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $188.05 / $287.07	Facility		$126.19	$188.05	$287.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $228.00 / $286.00	Professional		$200.00	$228.00	$286.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.11 / $144.53 / $2,251.00	Facility		$106.11	$144.53	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $217.32 / $2,251.00	Professional		$157.32	$217.32	$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 $137.84 / $239.71 / $338.92	Professional		$137.84	$239.71	$338.92