Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.99 / $1,226.00 / $8,294.00	Facility		$172.99	$1,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $203.70 / $330.00	Professional		$118.28	$203.70	$330.00
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 $116.78 / $149.34 / $204.81	Professional		$116.78	$149.34	$204.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $213.11 / $974.00	Professional		$143.85	$213.11	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $202.36 / $353.25	Professional		$131.91	$202.36	$353.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $210.31 / $267.12	Professional		$175.26	$210.31	$267.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.58 / $210.29 / $336.77	Facility		$137.58	$210.29	$336.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $259.00 / $382.00	Professional		$226.00	$259.00	$382.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $159.83 / $1,171.00	Facility		$115.79	$159.83	$1,171.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $244.50 / $1,171.00	Professional		$171.26	$244.50	$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 $152.59 / $228.90 / $402.46	Professional		$152.59	$228.90	$402.46