Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $1,938.00 / $8,294.00	Facility		$133.55	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $160.52 / $287.82	Professional		$114.96	$160.52	$287.82
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 $133.38 / $185.68 / $278.25	Professional		$133.38	$185.68	$278.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $201.80 / $3,026.00	Professional		$153.03	$201.80	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $184.48 / $344.12	Professional		$129.94	$184.48	$344.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $217.82 / $268.64	Professional		$181.52	$217.82	$268.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $175.12 / $262.24	Facility		$133.55	$175.12	$262.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $187.00 / $315.00	Professional		$162.00	$187.00	$315.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.39 / $158.80 / $1,683.00	Facility		$122.39	$158.80	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $203.46 / $1,683.00	Professional		$136.65	$203.46	$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 $112.56 / $185.69 / $322.01	Professional		$112.56	$185.69	$322.01