Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $3,235.94 / $8,912.51	Facility		$134.90	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $263.03	Professional		$112.20	$181.97	$263.03
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 $123.03 / $194.98 / $302.00	Professional		$123.03	$194.98	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $4,365.16	Professional		$138.04	$213.80	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $354.81	Professional		$125.89	$208.93	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $257.04 / $660.69	Professional		$112.20	$257.04	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $457.09	Professional		$204.17	$275.42	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $380.19	Facility		$131.83	$223.87	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $4,073.80	Facility		$109.65	$165.96	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $4,073.80	Professional		$169.82	$269.15	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $346.74	Professional		$104.71	$190.55	$346.74