Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.24 / $652.67 / $8,294.00	Facility		$147.24	$652.67	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.53 / $157.15 / $289.06	Professional		$128.53	$157.15	$289.06
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 $121.39 / $155.24 / $212.91	Professional		$121.39	$155.24	$212.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $234.55 / $2,315.00	Professional		$153.62	$234.55	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $190.48 / $347.88	Professional		$134.13	$190.48	$347.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $177.86 / $219.37	Professional		$148.22	$177.86	$219.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.24 / $191.63 / $284.61	Facility		$145.24	$191.63	$284.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $220.00 / $306.00	Professional		$194.00	$220.00	$306.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $177.50 / $1,171.00	Facility		$136.87	$177.50	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $207.17 / $1,171.00	Professional		$160.09	$207.17	$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 $128.09 / $214.41 / $337.83	Professional		$128.09	$214.41	$337.83