Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $2,116.67 / $8,294.00	Facility		$147.52	$2,116.67	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $211.49 / $365.41	Professional		$124.21	$211.49	$365.41
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 $121.85 / $200.68 / $301.99	Professional		$121.85	$200.68	$301.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $210.51 / $3,426.00	Professional		$140.56	$210.51	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $217.92 / $394.81	Professional		$133.19	$217.92	$394.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.59 / $245.51 / $302.80	Professional		$204.59	$245.51	$302.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $236.65 / $381.02	Facility		$147.52	$236.65	$381.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $289.70 / $427.00	Professional		$242.00	$289.70	$427.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $168.05 / $1,683.00	Facility		$123.97	$168.05	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $185.27 / $278.17 / $1,683.00	Professional		$185.27	$278.17	$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 $153.04 / $255.74 / $453.40	Professional		$153.04	$255.74	$453.40