Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,288.25 / $7,079.46	Facility		$158.49	$1,288.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $288.40	Professional		$114.82	$165.96	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $331.13	Professional		$144.54	$208.93	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $3,548.13	Professional		$147.91	$229.09	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $331.13	Professional		$125.89	$177.83	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $501.19	Professional		$117.49	$223.87	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $436.52	Professional		$173.78	$213.80	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $181.97 / $295.12	Facility		$134.90	$181.97	$295.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $4,073.80	Facility		$107.15	$158.49	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $4,073.80	Professional		$128.82	$208.93	$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 / $165.96 / $288.40	Professional		$104.71	$165.96	$288.40