Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.13 / $5,087.00 / $8,920.00	Facility		$166.13	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $152.43 / $213.24	Professional		$128.93	$152.43	$213.24
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 $120.58 / $153.52 / $213.98	Professional		$120.58	$153.52	$213.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $191.50 / $8,031.00	Professional		$141.85	$191.50	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $188.45 / $303.92	Professional		$131.49	$188.45	$303.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $148.54 / $183.19	Professional		$123.78	$148.54	$183.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $187.08 / $280.76	Facility		$152.43	$187.08	$280.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $198.00 / $304.14	Professional		$173.00	$198.00	$304.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $193.24 / $9,929.00	Facility		$140.22	$193.24	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $193.24 / $9,929.00	Professional		$140.22	$193.24	$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 $118.30 / $197.54 / $293.41	Professional		$118.30	$197.54	$293.41