Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $1,938.00 / $8,294.00	Facility		$137.79	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $174.37 / $284.17	Professional		$113.95	$174.37	$284.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $172.01 / $257.22	Professional		$120.21	$172.01	$257.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $215.21 / $2,315.00	Professional		$141.37	$215.21	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $194.71 / $335.93	Professional		$135.66	$194.71	$335.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $202.42 / $249.65	Professional		$168.68	$202.42	$249.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $191.64 / $272.95	Facility		$137.79	$191.64	$272.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $224.00 / $332.00	Professional		$195.00	$224.00	$332.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $163.92 / $1,171.00	Facility		$126.56	$163.92	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $214.97 / $1,171.00	Professional		$156.87	$214.97	$1,171.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $221.39 / $362.65	Professional		$138.74	$221.39	$362.65