Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.50 / $3,633.00 / $8,920.00	Facility		$131.50	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $168.59 / $232.28	Professional		$122.03	$168.59	$232.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $178.64 / $263.60	Professional		$114.54	$178.64	$263.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $191.87 / $3,774.00	Professional		$133.24	$191.87	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $213.38 / $361.55	Professional		$132.10	$213.38	$361.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $225.52 / $278.14	Professional		$187.93	$225.52	$278.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $222.24 / $350.15	Facility		$134.83	$222.24	$350.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $269.54 / $402.05	Professional		$231.00	$269.54	$402.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $161.91 / $1,683.00	Facility		$115.68	$161.91	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.53 / $266.94 / $1,683.00	Professional		$170.53	$266.94	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,533.00 / $5,340.00	Facility		$1,911.00	$3,533.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $257.00 / $424.55	Professional		$160.34	$257.00	$424.55