Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $3,226.00 / $8,294.00	Facility		$183.85	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $205.35 / $339.33	Professional		$168.60	$205.35	$339.33
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 $160.12 / $206.81 / $297.05	Professional		$160.12	$206.81	$297.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $291.37 / $3,426.00	Professional		$195.29	$291.37	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $242.10 / $424.35	Professional		$174.96	$242.10	$424.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.70 / $216.84 / $267.44	Professional		$180.70	$216.84	$267.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $238.92 / $336.45	Facility		$183.85	$238.92	$336.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.00 / $261.00 / $388.68	Professional		$229.00	$261.00	$388.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $226.55 / $3,512.00	Facility		$169.35	$226.55	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $252.43 / $3,512.00	Professional		$189.88	$252.43	$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 $155.33 / $256.83 / $408.91	Professional		$155.33	$256.83	$408.91