Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $5,128.61 / $8,912.51	Facility		$147.91	$5,128.61	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $549.54	Professional		$125.89	$147.91	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,709.64 / $12,022.64	Facility		$6,918.31	$8,709.64	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $208.93	Professional		$112.20	$147.91	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $6,165.95 / $8,317.64	Professional		$125.89	$6,165.95	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $275.42	Professional		$120.23	$186.21	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $154.88	Professional		$104.71	$125.89	$154.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Professional		$223.87	$281.84	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $281.84	Facility		$120.23	$218.78	$281.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $11,481.54	Facility		$114.82	$199.53	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $11,481.54	Professional		$114.82	$199.53	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $12,882.50 / $29,512.09	Facility		$8,317.64	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $281.84	Professional		$112.20	$199.53	$281.84