Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $7,585.78	Facility		$100.00	$117.49	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $154.88	Professional		$89.13	$100.00	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $181.97	Professional		$95.50	$125.89	$181.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $954.99	Professional		$112.20	$169.82	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $234.42	Professional		$95.50	$134.90	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $257.04	Professional		$83.18	$102.33	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $229.09	Professional		$154.88	$194.98	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $218.78	Facility		$100.00	$141.25	$218.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $7,413.10	Facility		$95.50	$134.90	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $7,413.10	Professional		$95.50	$134.90	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $7,079.46	Facility		$1,698.24	$3,890.45	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $208.93	Professional		$81.28	$128.82	$208.93