Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $2,516.00 / $8,294.00	Facility		$198.81	$2,516.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.96 / $198.81 / $302.77	Professional		$157.96	$198.81	$302.77
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 $185.41 / $249.53 / $366.99	Professional		$185.41	$249.53	$366.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $278.97 / $3,774.00	Professional		$210.56	$278.97	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $260.57 / $490.63	Professional		$188.63	$260.57	$490.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.87 / $279.44 / $344.65	Professional		$232.87	$279.44	$344.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $198.81 / $253.09 / $375.86	Facility		$198.81	$253.09	$375.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $276.00 / $462.00	Professional		$241.00	$276.00	$462.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $185.49 / $241.05 / $3,512.00	Facility		$185.49	$241.05	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $281.27 / $3,512.00	Professional		$211.84	$281.27	$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 $172.42 / $267.70 / $461.53	Professional		$172.42	$267.70	$461.53