Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.72 / $2,561.00 / $8,294.00	Facility		$239.72	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $191.40 / $272.55	Professional		$147.94	$191.40	$272.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $220.11 / $311.06	Professional		$172.32	$220.11	$311.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $424.18 / $8,031.00	Professional		$217.53	$424.18	$8,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Facility		$214.12	$214.12	$214.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $233.86 / $361.42	Professional		$172.17	$233.86	$361.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $208.61 / $270.45	Professional		$177.32	$208.61	$270.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $240.47 / $336.18	Facility		$176.86	$240.47	$336.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $279.00 / $448.01	Professional		$240.00	$279.00	$448.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $243.59 / $9,929.00	Facility		$183.77	$243.59	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $243.59 / $9,929.00	Professional		$183.77	$243.59	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $191.88 / $317.17	Professional		$143.44	$191.88	$317.17