Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $3,226.00 / $8,294.00	Facility		$160.83	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $174.62 / $205.97	Professional		$152.31	$174.62	$205.97
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 $138.97 / $185.76 / $274.19	Professional		$138.97	$185.76	$274.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $242.83 / $974.00	Professional		$163.37	$242.83	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $213.17 / $386.57	Professional		$154.25	$213.17	$386.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $205.39 / $253.32	Professional		$171.16	$205.39	$253.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $218.64 / $315.98	Facility		$160.83	$218.64	$315.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $249.00 / $338.00	Professional		$219.00	$249.00	$338.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $191.51 / $1,171.00	Facility		$146.15	$191.51	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $233.35 / $1,171.00	Professional		$175.01	$233.35	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,906.00 / $3,765.00	Facility		$1,066.00	$1,906.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $231.92 / $383.65	Professional		$147.53	$231.92	$383.65