Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.78 / $3,226.00 / $8,294.00	Facility		$200.78	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $200.78 / $356.44	Professional		$147.32	$200.78	$356.44
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 $172.56 / $232.83 / $342.42	Professional		$172.56	$232.83	$342.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $259.52 / $3,774.00	Professional		$196.04	$259.52	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $240.01 / $455.71	Professional		$175.67	$240.01	$455.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $260.76 / $321.60	Professional		$217.30	$260.76	$321.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $231.26 / $341.45	Facility		$180.30	$231.26	$341.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $254.00 / $426.00	Professional		$218.00	$254.00	$426.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $219.94 / $3,512.00	Facility		$167.06	$219.94	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $263.39 / $3,512.00	Professional		$190.28	$263.39	$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 $160.51 / $261.64 / $450.95	Professional		$160.51	$261.64	$450.95