Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.28 / $3,633.00 / $15,165.00	Facility		$173.28	$3,633.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $111.37 / $281.33	Professional		$86.73	$111.37	$281.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $104.41 / $145.52	Professional		$82.00	$104.41	$145.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $133.41 / $2,413.00	Professional		$97.21	$133.41	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $136.43 / $410.34	Professional		$92.39	$136.43	$410.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $103.91 / $128.15	Professional		$86.59	$103.91	$128.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $135.46 / $514.05	Facility		$99.21	$135.46	$514.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $348.00 / $525.00	Professional		$173.00	$348.00	$525.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $126.77 / $2,251.00	Facility		$94.34	$126.77	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $343.43 / $2,251.00	Professional		$101.61	$343.43	$2,251.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $4,428.00	Facility		$1,066.00	$1,893.00	$4,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $190.49 / $503.44	Professional		$81.48	$190.49	$503.44