Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $3,991.00 / $8,920.00	Facility		$190.49	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $190.49 / $300.83	Professional		$150.56	$190.49	$300.83
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 $168.41 / $215.36 / $295.36	Professional		$168.41	$215.36	$295.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $272.58 / $2,413.00	Professional		$204.30	$272.58	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $225.13 / $438.37	Professional		$173.51	$225.13	$438.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $206.95 / $255.24	Professional		$172.46	$206.95	$255.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.64 / $225.17 / $321.93	Facility		$168.64	$225.17	$321.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $236.00 / $411.00	Professional		$212.00	$236.00	$411.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $174.96 / $228.96 / $2,039.00	Facility		$174.96	$228.96	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $228.96 / $2,039.00	Professional		$174.96	$228.96	$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 $145.51 / $222.72 / $382.14	Professional		$145.51	$222.72	$382.14