Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.10 / $5,587.00 / $11,425.00	Facility		$233.10	$5,587.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.15 / $233.10 / $250.46	Professional		$194.15	$233.10	$250.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $237.37 / $325.55	Professional		$185.62	$237.37	$325.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $280.37 / $3,426.00	Professional		$212.18	$280.37	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $313.26 / $517.74	Professional		$201.48	$313.26	$517.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.66 / $227.59 / $280.70	Professional		$189.66	$227.59	$280.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.39 / $286.08 / $522.80	Facility		$206.39	$286.08	$522.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $369.00 / $510.00	Professional		$249.00	$369.00	$510.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $217.67 / $306.85 / $1,683.00	Facility		$217.67	$306.85	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $306.85 / $1,683.00	Professional		$217.67	$306.85	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $298.39 / $451.51	Professional		$170.92	$298.39	$451.51