Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $5,087.00 / $8,920.00	Facility		$147.85	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $138.34 / $200.59	Professional		$111.26	$138.34	$200.59
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 $108.12 / $137.66 / $191.88	Professional		$108.12	$137.66	$191.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $171.37 / $8,031.00	Professional		$126.94	$171.37	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $188.06 / $280.30	Professional		$119.07	$188.06	$280.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $135.18 / $166.72	Professional		$112.65	$135.18	$166.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $169.78 / $270.57	Facility		$138.34	$169.78	$270.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $214.73 / $278.04	Professional		$155.00	$214.73	$278.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.03 / $181.79 / $9,929.00	Facility		$128.03	$181.79	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $181.79 / $9,929.00	Professional		$128.03	$181.79	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $189.90 / $267.44	Professional		$107.75	$189.90	$267.44