Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $1,346.00 / $6,927.27	Facility		$158.71	$1,346.00	$6,927.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $158.71 / $259.27	Professional		$104.03	$158.71	$259.27
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 $100.45 / $145.02 / $217.23	Professional		$100.45	$145.02	$217.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $175.52 / $3,026.00	Professional		$118.74	$175.52	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $170.24 / $278.68	Professional		$114.67	$170.24	$278.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $170.42 / $210.19	Professional		$142.02	$170.42	$210.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.15 / $172.36 / $257.87	Facility		$114.15	$172.36	$257.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $201.60 / $282.00	Professional		$169.00	$201.60	$282.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.43 / $138.65 / $2,039.00	Facility		$106.43	$138.65	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $188.72 / $2,039.00	Professional		$148.76	$188.72	$2,039.00
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 $125.67 / $196.93 / $318.37	Professional		$125.67	$196.93	$318.37