Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $2,561.00 / $8,294.00	Facility		$163.60	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $147.80 / $179.68	Professional		$123.78	$147.80	$179.68
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 $140.54 / $176.85 / $246.49	Professional		$140.54	$176.85	$246.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $183.69 / $1,013.00	Professional		$127.56	$183.69	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.74 / $195.00 / $369.13	Professional		$141.74	$195.00	$369.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $165.94 / $204.65	Professional		$138.28	$165.94	$204.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $188.42 / $299.39	Facility		$131.21	$188.42	$299.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $342.14 / $614.00	Professional		$201.00	$342.14	$614.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $142.77 / $191.97 / $1,428.00	Facility		$142.77	$191.97	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $191.97 / $1,428.00	Professional		$142.77	$191.97	$1,428.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $1,870.00 / $3,880.00	Facility		$1,101.00	$1,870.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $165.28 / $320.13	Professional		$114.75	$165.28	$320.13