Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,630.78 / $9,549.93	Facility		$194.98	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $275.42	Professional		$154.88	$186.21	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $16,218.10	Facility		$6,918.31	$11,748.98	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $275.42	Professional		$147.91	$199.53	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $281.84	Professional		$165.96	$208.93	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $371.54	Professional		$154.88	$213.80	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $194.98	Professional		$131.83	$158.49	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $346.74	Facility		$151.36	$213.80	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $7,413.10	Facility		$147.91	$218.78	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $7,413.10	Professional		$147.91	$218.78	$7,413.10
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 $144.54 / $234.42 / $371.54	Professional		$144.54	$234.42	$371.54