Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $5,293.00 / $9,885.49	Facility		$225.00	$5,293.00	$9,885.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.58 / $225.00 / $236.72	Professional		$189.58	$225.00	$236.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $220.47 / $302.37	Professional		$172.40	$220.47	$302.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.75 / $325.81 / $7,369.00	Professional		$215.75	$325.81	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $265.91 / $494.95	Professional		$187.03	$265.91	$494.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.07 / $211.28 / $260.58	Professional		$176.07	$211.28	$260.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.44 / $258.22 / $367.56	Facility		$194.44	$258.22	$367.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $269.00 / $486.00	Professional		$235.00	$269.00	$486.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $202.12 / $258.88 / $6,585.00	Facility		$202.12	$258.88	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.12 / $258.88 / $6,585.00	Professional		$202.12	$258.88	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $273.89 / $437.55	Professional		$164.29	$273.89	$437.55