Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $3,645.00 / $8,294.00	Facility		$149.19	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $149.19 / $160.10	Professional		$107.20	$149.19	$160.10
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 $120.16 / $153.66 / $210.74	Professional		$120.16	$153.66	$210.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $214.36 / $3,774.00	Professional		$144.27	$214.36	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $177.22 / $327.51	Professional		$126.28	$177.22	$327.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $147.84 / $182.34	Professional		$123.20	$147.84	$182.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $176.32 / $265.76	Facility		$122.09	$176.32	$265.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $188.00 / $303.50	Professional		$167.00	$188.00	$303.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $177.42 / $3,512.00	Facility		$132.91	$177.42	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $177.42 / $3,512.00	Professional		$132.91	$177.42	$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 $108.71 / $174.64 / $287.42	Professional		$108.71	$174.64	$287.42