Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $3,633.00 / $8,294.00	Facility		$71.41	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $140.44 / $194.70	Professional		$37.60	$140.44	$194.70
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 $31.75 / $86.85 / $188.41	Professional		$31.75	$86.85	$188.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $50.40 / $2,413.00	Professional		$35.72	$50.40	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $95.36 / $277.32	Professional		$38.04	$95.36	$277.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $159.12 / $197.25	Professional		$132.60	$159.12	$197.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $143.69 / $283.47	Facility		$40.13	$143.69	$283.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $233.00 / $296.00	Professional		$192.00	$233.00	$296.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $49.06 / $2,251.00	Facility		$35.29	$49.06	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.24 / $218.41 / $2,251.00	Professional		$154.24	$218.41	$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 $147.38 / $246.42 / $360.10	Professional		$147.38	$246.42	$360.10