Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $3,630.78 / $9,549.93	Facility		$162.18	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $223.87	Professional		$131.83	$154.88	$223.87
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 $120.23 / $162.18 / $223.87	Professional		$120.23	$162.18	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $234.42	Professional		$138.04	$169.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $346.74	Professional		$128.82	$190.55	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $165.96	Professional		$112.20	$134.90	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $467.74	Professional		$302.00	$380.19	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $407.38	Facility		$128.82	$213.80	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $10,000.00	Facility		$120.23	$245.47	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $10,000.00	Professional		$120.23	$245.47	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $363.08	Professional		$120.23	$213.80	$363.08