Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.84 / $3,645.00 / $8,294.00	Facility		$190.84	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $178.11 / $307.12	Professional		$121.24	$178.11	$307.12
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 $105.64 / $209.54 / $306.82	Professional		$105.64	$209.54	$306.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $158.29 / $1,013.00	Professional		$119.61	$158.29	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $205.96 / $391.05	Professional		$120.46	$205.96	$391.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.60 / $262.32 / $323.52	Professional		$218.60	$262.32	$323.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $237.91 / $388.65	Facility		$132.19	$237.91	$388.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $295.00 / $455.00	Professional		$240.00	$295.00	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.27 / $148.99 / $2,251.00	Facility		$107.27	$148.99	$2,251.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.01 / $284.81 / $2,251.00	Professional		$186.01	$284.81	$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 $171.20 / $246.79 / $453.49	Professional		$171.20	$246.79	$453.49