Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.73 / $3,226.00 / $8,294.00	Facility		$201.73	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.38 / $243.36 / $319.64	Professional		$180.38	$243.36	$319.64
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 $164.99 / $247.21 / $371.93	Professional		$164.99	$247.21	$371.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $272.48 / $4,716.00	Professional		$183.03	$272.48	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $280.76 / $491.52	Professional		$176.11	$280.76	$491.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $291.02 / $360.28	Professional		$242.52	$291.02	$360.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.02 / $298.83 / $424.40	Facility		$192.02	$298.83	$424.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $375.00 / $554.00	Professional		$313.00	$375.00	$554.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $161.08 / $223.09 / $1,683.00	Facility		$161.08	$223.09	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $345.25 / $1,683.00	Professional		$233.18	$345.25	$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 $204.29 / $316.37 / $565.47	Professional		$204.29	$316.37	$565.47