Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.23 / $2,561.00 / $8,294.00	Facility		$213.23	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $213.23 / $261.83	Professional		$163.30	$213.23	$261.83
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 $187.77 / $240.12 / $329.32	Professional		$187.77	$240.12	$329.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $295.39 / $3,774.00	Professional		$227.90	$295.39	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $252.00 / $489.15	Professional		$191.54	$252.00	$489.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.89 / $230.27 / $284.00	Professional		$191.89	$230.27	$284.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $258.13 / $368.06	Facility		$188.06	$258.13	$368.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $266.00 / $455.00	Professional		$228.00	$266.00	$455.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $202.17 / $253.56 / $3,512.00	Facility		$202.17	$253.56	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $202.17 / $253.56 / $3,512.00	Professional		$202.17	$253.56	$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 $162.37 / $258.22 / $433.35	Professional		$162.37	$258.22	$433.35