Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $1,219.00 / $5,412.00	Facility		$184.38	$1,219.00	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $184.38 / $312.81	Professional		$143.75	$184.38	$312.81
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 $128.44 / $169.68 / $237.78	Professional		$128.44	$169.68	$237.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $201.64 / $2,413.00	Professional		$149.02	$201.64	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $196.57 / $313.33	Professional		$144.94	$196.57	$313.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $186.11 / $229.53	Professional		$155.09	$186.11	$229.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $208.35 / $301.20	Facility		$156.72	$208.35	$301.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $229.63 / $313.87	Professional		$204.00	$229.63	$313.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $139.18 / $184.21 / $2,251.00	Facility		$139.18	$184.21	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $220.94 / $2,251.00	Professional		$164.28	$220.94	$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 $147.19 / $235.95 / $358.62	Professional		$147.19	$235.95	$358.62