Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,897.79 / $8,912.51	Facility		$223.87	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $346.74	Professional		$194.98	$218.78	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $338.84	Professional		$177.83	$234.42	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $4,466.84	Professional		$204.17	$316.23	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $489.78	Professional		$181.97	$275.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $501.19	Professional		$165.96	$199.53	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $407.38	Facility		$190.55	$263.03	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $10,000.00	Facility		$181.97	$275.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $10,000.00	Professional		$181.97	$275.42	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $426.58	Professional		$162.18	$288.40	$426.58