Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.37 / $4,964.83 / $9,539.00	Facility		$144.37	$4,964.83	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $144.37 / $228.81	Professional		$125.52	$144.37	$228.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $148.55 / $203.73	Professional		$116.16	$148.55	$203.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $159.05 / $276.92	Professional		$140.34	$159.05	$276.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $167.35 / $318.29	Professional		$119.61	$167.35	$318.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $139.25 / $171.74	Professional		$116.04	$139.25	$171.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.65 / $168.43 / $235.86	Facility		$129.65	$168.43	$235.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $182.00 / $285.02	Professional		$160.00	$182.00	$285.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $122.38 / $165.94 / $1,621.00	Facility		$122.38	$165.94	$1,621.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $165.94 / $1,621.00	Professional		$122.38	$165.94	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $167.09 / $280.52	Professional		$105.96	$167.09	$280.52