Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $2,561.00 / $8,294.00	Facility		$170.26	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $170.99 / $198.74	Professional		$145.49	$170.99	$198.74
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 $147.51 / $188.64 / $258.70	Professional		$147.51	$188.64	$258.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $246.99 / $2,413.00	Professional		$171.52	$246.99	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.85 / $220.05 / $412.73	Professional		$159.85	$220.05	$412.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.89 / $214.67 / $264.76	Professional		$178.89	$214.67	$264.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.26 / $209.40 / $311.58	Facility		$170.26	$209.40	$311.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $235.00 / $375.19	Professional		$197.00	$235.00	$375.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.09 / $200.93 / $1,683.00	Facility		$152.09	$200.93	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $225.60 / $1,683.00	Professional		$165.70	$225.60	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $223.61 / $383.04	Professional		$133.66	$223.61	$383.04