Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.50 / $4,691.00 / $8,294.00	Facility		$130.50	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $130.50 / $158.10	Professional		$109.91	$130.50	$158.10
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 $127.31 / $169.77 / $245.79	Professional		$127.31	$169.77	$245.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $185.40 / $3,426.00	Professional		$144.19	$185.40	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.40 / $172.56 / $333.11	Professional		$124.40	$172.56	$333.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $179.38 / $221.23	Professional		$149.47	$179.38	$221.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.50 / $163.74 / $238.82	Facility		$130.50	$163.74	$238.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $181.00 / $300.00	Professional		$153.00	$181.00	$300.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $155.40 / $4,071.00	Facility		$120.24	$155.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $182.91 / $4,071.00	Professional		$133.72	$182.91	$4,071.00
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 $112.00 / $181.35 / $320.51	Professional		$112.00	$181.35	$320.51