Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.94 / $3,633.00 / $8,294.00	Facility		$210.94	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $232.45 / $282.19	Professional		$199.52	$232.45	$282.19
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 $184.36 / $244.76 / $354.36	Professional		$184.36	$244.76	$354.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.84 / $302.43 / $3,774.00	Professional		$209.84	$302.43	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $276.27 / $509.46	Professional		$199.02	$276.27	$509.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $263.02 / $324.39	Professional		$219.18	$263.02	$324.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.94 / $283.95 / $407.18	Facility		$210.94	$283.95	$407.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $314.77 / $442.06	Professional		$272.00	$314.77	$442.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $253.51 / $3,512.00	Facility		$193.56	$253.51	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $306.95 / $3,512.00	Professional		$230.38	$306.95	$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 $195.06 / $314.51 / $490.92	Professional		$195.06	$314.51	$490.92