Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.11 / $3,226.00 / $8,294.00	Facility		$176.11	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $224.05 / $391.78	Professional		$147.22	$224.05	$391.78
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 $150.28 / $192.18 / $263.57	Professional		$150.28	$192.18	$263.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $273.27 / $2,413.00	Professional		$184.06	$273.27	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $247.74 / $430.23	Professional		$172.07	$247.74	$430.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.93 / $249.52 / $307.74	Professional		$207.93	$249.52	$307.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $176.11 / $250.72 / $391.78	Facility		$176.11	$250.72	$391.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.61 / $302.00 / $435.00	Professional		$259.61	$302.00	$435.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $209.41 / $1,683.00	Facility		$160.44	$209.41	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $285.17 / $1,683.00	Professional		$198.40	$285.17	$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 $176.59 / $277.12 / $465.76	Professional		$176.59	$277.12	$465.76