Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $3,226.00 / $8,294.00	Facility		$114.33	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $137.79 / $225.09	Professional		$99.52	$137.79	$225.09
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 $115.26 / $161.59 / $242.39	Professional		$115.26	$161.59	$242.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $174.87 / $4,284.00	Professional		$132.53	$174.87	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $159.24 / $295.29	Professional		$112.84	$159.24	$295.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $189.64 / $233.88	Professional		$158.03	$189.64	$233.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $151.57 / $226.76	Facility		$114.33	$151.57	$226.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $161.00 / $274.00	Professional		$140.00	$161.00	$274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $136.24 / $3,512.00	Facility		$104.70	$136.24	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $175.66 / $3,512.00	Professional		$123.14	$175.66	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $166.29 / $317.76	Professional		$111.32	$166.29	$317.76