Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $3,633.00 / $8,920.00	Facility		$54.97	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $109.30 / $151.78	Professional		$47.25	$109.30	$151.78
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 $43.10 / $96.29 / $151.43	Professional		$43.10	$96.29	$151.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $66.11 / $2,413.00	Professional		$49.19	$66.11	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $110.36 / $217.79	Professional		$48.48	$110.36	$217.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $130.08 / $160.63	Professional		$108.40	$130.08	$160.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.15 / $117.74 / $237.18	Facility		$53.15	$117.74	$237.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $186.00 / $241.00	Professional		$157.00	$186.00	$241.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $61.13 / $2,251.00	Facility		$45.02	$61.13	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $178.84 / $2,251.00	Professional		$128.13	$178.84	$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 $111.32 / $194.02 / $280.14	Professional		$111.32	$194.02	$280.14