Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $2,561.00 / $8,294.00	Facility		$200.67	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $226.96 / $280.48	Professional		$173.40	$226.96	$280.48
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 $170.47 / $227.58 / $335.91	Professional		$170.47	$227.58	$335.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.35 / $275.95 / $3,026.00	Professional		$193.35	$275.95	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $263.52 / $469.23	Professional		$184.51	$263.52	$469.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.24 / $258.29 / $318.56	Professional		$215.24	$258.29	$318.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $269.76 / $395.05	Facility		$200.67	$269.76	$395.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $312.00 / $433.00	Professional		$272.00	$312.00	$433.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $170.49 / $229.79 / $1,683.00	Facility		$170.49	$229.79	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $286.93 / $1,683.00	Professional		$224.19	$286.93	$1,683.00
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 $179.38 / $300.70 / $477.73	Professional		$179.38	$300.70	$477.73