Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $3,226.00 / $9,776.74	Facility		$208.71	$3,226.00	$9,776.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $324.76 / $589.46	Professional		$166.09	$324.76	$589.46
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 $164.67 / $325.27 / $528.64	Professional		$164.67	$325.27	$528.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $265.81 / $3,774.00	Professional		$182.83	$265.81	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $366.93 / $659.65	Professional		$192.68	$366.93	$659.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.92 / $417.50 / $514.91	Professional		$347.92	$417.50	$514.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.80 / $369.80 / $624.86	Facility		$191.80	$369.80	$624.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $424.04 / $754.00	Professional		$386.00	$424.04	$754.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.68 / $228.07 / $1,683.00	Facility		$174.68	$228.07	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $347.18 / $454.40 / $1,715.54	Professional		$347.18	$454.40	$1,715.54
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 $299.95 / $461.34 / $782.18	Professional		$299.95	$461.34	$782.18