Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $2,630.27 / $8,317.64	Facility		$95.50	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $218.78	Professional		$83.18	$112.20	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $245.47	Professional		$97.72	$147.91	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $2,511.89	Professional		$93.33	$134.90	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $245.47	Professional		$91.20	$131.83	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $190.55	Professional		$125.89	$162.18	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $407.38	Professional		$173.78	$213.80	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $239.88	Facility		$87.10	$138.04	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $3,388.44	Facility		$85.11	$123.03	$3,388.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $3,388.44	Professional		$107.15	$162.18	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $218.78	Professional		$75.86	$125.89	$218.78