Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.15 / $3,832.00 / $8,920.00	Facility		$183.15	$3,832.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $327.50 / $462.04	Professional		$171.28	$327.50	$462.04
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 $158.72 / $313.69 / $508.16	Professional		$158.72	$313.69	$508.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $278.45 / $3,026.00	Professional		$186.19	$278.45	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $374.55 / $800.40	Professional		$183.55	$374.55	$800.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.68 / $398.02 / $490.89	Professional		$331.68	$398.02	$490.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.15 / $359.96 / $703.24	Facility		$183.15	$359.96	$703.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $522.00 / $857.00	Professional		$448.00	$522.00	$857.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $218.52 / $1,428.00	Facility		$163.09	$218.52	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $365.27 / $547.79 / $1,428.00	Professional		$365.27	$547.79	$1,428.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,341.00 / $4,005.00	Facility		$1,066.00	$2,341.00	$4,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $556.40 / $871.95	Professional		$339.83	$556.40	$871.95