Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $2,004.00 / $8,294.00	Facility		$160.22	$2,004.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $160.22 / $310.27	Professional		$131.88	$160.22	$310.27
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 $150.77 / $198.49 / $284.70	Professional		$150.77	$198.49	$284.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.35 / $222.88 / $3,026.00	Professional		$173.35	$222.88	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $206.13 / $393.33	Professional		$151.52	$206.13	$393.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $207.67 / $256.13	Professional		$173.06	$207.67	$256.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.30 / $199.76 / $289.42	Facility		$157.30	$199.76	$289.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $208.00 / $348.00	Professional		$178.00	$208.00	$348.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $148.66 / $188.43 / $3,512.00	Facility		$148.66	$188.43	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $213.81 / $3,512.00	Professional		$158.38	$213.81	$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 $130.53 / $205.15 / $359.18	Professional		$130.53	$205.15	$359.18