Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $3,235.94 / $8,317.64	Facility		$51.29	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $75.86	Professional		$51.29	$51.29	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $177.83	Professional		$97.72	$123.03	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $933.25 / $1,047.13	Professional		$354.81	$933.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $95.50	Facility		$51.29	$56.23	$95.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $1,174.90 / $10,000.00	Facility		$42.66	$1,174.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $1,174.90 / $10,000.00	Professional		$42.66	$1,174.90	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89