Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,365.16 / $14,791.08	Facility		$83.18	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $120.23	Professional		$67.61	$79.43	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $7,079.46	Facility		$1,412.54	$2,137.96	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $117.49	Professional		$63.10	$85.11	$117.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $114.82	Professional		$67.61	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $131.83	Professional		$66.07	$91.20	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $154.88	Professional		$102.33	$128.82	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $147.91	Facility		$69.18	$104.71	$147.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $7,413.10	Facility		$64.57	$95.50	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $7,413.10	Professional		$64.57	$95.50	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $14,791.08	Facility		$1,698.24	$4,365.16	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $151.36	Professional		$58.88	$97.72	$151.36