Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.06 / $3,633.00 / $8,294.00	Facility		$129.06	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $153.84 / $195.36	Professional		$123.06	$153.84	$195.36
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 $110.33 / $157.44 / $236.18	Professional		$110.33	$157.44	$236.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.32 / $179.41 / $916.00	Professional		$125.32	$179.41	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $182.22 / $298.67	Professional		$116.99	$182.22	$298.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $187.63 / $231.41	Professional		$156.36	$187.63	$231.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $187.98 / $289.85	Facility		$124.74	$187.98	$289.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $224.29 / $306.00	Professional		$184.00	$224.29	$306.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $111.08 / $145.53 / $3,512.00	Facility		$111.08	$145.53	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $214.23 / $3,512.00	Professional		$158.58	$214.23	$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 $138.85 / $230.36 / $342.03	Professional		$138.85	$230.36	$342.03