Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $2,561.00 / $8,294.00	Facility		$132.72	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $132.72 / $166.81	Professional		$108.24	$132.72	$166.81
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 $104.79 / $134.01 / $183.79	Professional		$104.79	$134.01	$183.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $183.30 / $2,413.00	Professional		$125.45	$183.30	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $158.41 / $290.02	Professional		$114.44	$158.41	$290.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $131.26 / $161.88	Professional		$109.38	$131.26	$161.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.37 / $162.88 / $242.78	Facility		$123.37	$162.88	$242.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $169.00 / $267.60	Professional		$147.00	$169.00	$267.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $157.88 / $1,171.00	Facility		$120.33	$157.88	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $157.88 / $1,171.00	Professional		$120.33	$157.88	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $161.66 / $251.89	Professional		$101.04	$161.66	$251.89