Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $3,633.00 / $8,294.00	Facility		$146.16	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $206.09 / $287.18	Professional		$123.29	$206.09	$287.18
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 $130.09 / $202.27 / $295.07	Professional		$130.09	$202.27	$295.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $227.58 / $3,426.00	Professional		$150.96	$227.58	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $227.36 / $385.85	Professional		$139.47	$227.36	$385.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $237.61 / $293.75	Professional		$198.01	$237.61	$293.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $230.92 / $349.81	Facility		$145.16	$230.92	$349.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $294.00 / $432.00	Professional		$255.00	$294.00	$432.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $167.03 / $1,683.00	Facility		$127.86	$167.03	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $272.99 / $1,683.00	Professional		$189.93	$272.99	$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 $166.67 / $263.13 / $443.90	Professional		$166.67	$263.13	$443.90