Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $3,633.00 / $8,294.00	Facility		$89.79	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $105.86 / $154.04	Professional		$65.42	$105.86	$154.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $119.63 / $177.04	Professional		$78.05	$119.63	$177.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $131.69 / $3,774.00	Professional		$86.88	$131.69	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $123.28 / $224.25	Professional		$84.35	$123.28	$224.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $140.53 / $173.32	Professional		$117.11	$140.53	$173.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $119.41 / $177.33	Facility		$89.78	$119.41	$177.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $136.00 / $224.00	Professional		$114.00	$136.00	$224.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $109.71 / $3,512.00	Facility		$83.74	$109.71	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $140.47 / $3,512.00	Professional		$104.31	$140.47	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $134.46 / $238.58	Professional		$84.80	$134.46	$238.58