Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.11 / $1,719.00 / $5,413.00	Facility		$226.11	$1,719.00	$5,413.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $352.11 / $910.55	Professional		$133.01	$352.11	$910.55
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 $122.76 / $329.75 / $691.50	Professional		$122.76	$329.75	$691.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $226.99 / $3,026.00	Professional		$157.63	$226.99	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $319.11 / $994.32	Professional		$145.62	$319.11	$994.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.02 / $566.41 / $702.01	Professional		$472.02	$566.41	$702.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.63 / $266.50 / $880.82	Facility		$145.63	$266.50	$880.82
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $335.89 / $1,053.14 / $1,581.18	Facility	50	$335.89	$1,053.14	$1,581.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $698.00 / $1,182.00	Professional		$239.00	$698.00	$1,182.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $188.78 / $2,039.00	Facility		$141.13	$188.78	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $719.21 / $2,052.00	Professional		$196.80	$719.21	$2,052.00
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 $164.45 / $691.70 / $1,110.58	Professional		$164.45	$691.70	$1,110.58