Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.20 / $4,796.00 / $9,539.00	Facility		$245.20	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $245.20 / $278.93	Professional		$173.15	$245.20	$278.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $216.58 / $301.88	Professional		$172.12	$216.58	$301.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $667.94 / $748.09 / $1,302.48	Professional		$667.94	$748.09	$1,302.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $318.47 / $562.21	Professional		$221.06	$318.47	$562.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.23 / $249.87 / $302.79	Professional		$208.23	$249.87	$302.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.42 / $267.27 / $407.17	Facility		$208.42	$267.27	$407.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $371.00 / $2,053.00	Professional		$288.00	$371.00	$2,053.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $276.24 / $2,224.00	Facility		$150.75	$276.24	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $276.24 / $2,224.00	Professional		$150.75	$276.24	$2,224.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $225.42 / $503.28	Professional		$134.72	$225.42	$503.28