Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $2,438.00 / $8,007.00	Facility		$259.77	$2,438.00	$8,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.19 / $210.85 / $362.33	Professional		$173.19	$210.85	$362.33
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 $189.00 / $241.70 / $331.49	Professional		$189.00	$241.70	$331.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $305.52 / $3,026.00	Professional		$230.31	$305.52	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $249.19 / $488.30	Professional		$190.36	$249.19	$488.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.45 / $232.14 / $286.31	Professional		$193.45	$232.14	$286.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.51 / $250.61 / $358.40	Facility		$187.51	$250.61	$358.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $263.00 / $450.00	Professional		$232.00	$263.00	$450.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $250.73 / $3,512.00	Facility		$196.45	$250.73	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $250.73 / $3,512.00	Professional		$196.45	$250.73	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $13,521.00	Facility		$3,651.00	$6,145.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.09 / $253.70 / $434.53	Professional		$162.09	$253.70	$434.53