Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.79 / $2,561.00 / $8,294.00	Facility		$167.79	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $167.79 / $187.28	Professional		$137.75	$167.79	$187.28
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 $137.37 / $175.67 / $240.93	Professional		$137.37	$175.67	$240.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $238.56 / $4,716.00	Professional		$166.24	$238.56	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $203.84 / $367.82	Professional		$151.05	$203.84	$367.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $170.63 / $210.44	Professional		$142.19	$170.63	$210.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $205.92 / $300.98	Facility		$161.96	$205.92	$300.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $210.00 / $349.44	Professional		$185.00	$210.00	$349.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $202.68 / $3,512.00	Facility		$156.31	$202.68	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $203.32 / $3,512.00	Professional		$156.31	$203.32	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $205.20 / $325.16	Professional		$128.25	$205.20	$325.16