Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.87 / $753.90 / $5,743.00	Facility		$214.87	$753.90	$5,743.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.49 / $229.00 / $368.67	Professional		$137.49	$229.00	$368.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $209.37 / $310.31	Professional		$132.38	$209.37	$310.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $211.88 / $1,013.00	Professional		$147.94	$211.88	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $235.47 / $401.45	Professional		$149.59	$235.47	$401.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $253.75 / $312.95	Professional		$211.46	$253.75	$312.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $247.75 / $387.80	Facility		$152.33	$247.75	$387.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $304.76 / $417.07	Professional		$254.00	$304.76	$417.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $181.32 / $819.00	Facility		$137.72	$181.32	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.25 / $284.07 / $899.91	Professional		$202.25	$284.07	$899.91
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $311.06 / $468.88	Professional		$189.19	$311.06	$468.88