Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $7,079.46 / $17,378.01	Facility		$288.40	$7,079.46	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $398.11	Professional		$169.82	$204.17	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $288.40	Professional		$154.88	$208.93	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $5,128.61 / $6,918.31	Professional		$173.78	$5,128.61	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $323.59	Professional		$173.78	$234.42	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $204.17	Professional		$138.04	$165.96	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $389.05	Professional		$251.19	$316.23	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $371.54	Facility		$165.96	$263.03	$371.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $14,125.38	Facility		$154.88	$245.47	$14,125.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $14,125.38	Professional		$154.88	$245.47	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $380.19	Professional		$151.36	$245.47	$380.19