Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $3,633.00 / $8,294.00	Facility		$146.74	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $146.74 / $187.55	Professional		$125.75	$146.74	$187.55
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 $142.97 / $190.33 / $274.98	Professional		$142.97	$190.33	$274.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $204.51 / $3,774.00	Professional		$159.06	$204.51	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $192.42 / $370.97	Professional		$142.35	$192.42	$370.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $200.77 / $247.62	Professional		$167.31	$200.77	$247.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $182.34 / $268.52	Facility		$146.74	$182.34	$268.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $193.00 / $329.00	Professional		$168.00	$193.00	$329.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $174.50 / $3,512.00	Facility		$131.84	$174.50	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $201.71 / $3,512.00	Professional		$142.35	$201.71	$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 $123.43 / $202.12 / $346.87	Professional		$123.43	$202.12	$346.87