Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,288.25 / $7,079.46	Facility		$151.36	$1,288.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $295.12	Professional		$107.15	$165.96	$295.12
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 $128.82 / $190.55 / $302.00	Professional		$128.82	$190.55	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $2,511.89	Professional		$138.04	$213.80	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $323.59	Professional		$134.90	$186.21	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $562.34	Professional		$104.71	$218.78	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $416.87	Professional		$218.78	$269.15	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $309.03	Facility		$131.83	$194.98	$309.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $3,311.31	Facility		$114.82	$165.96	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $3,311.31	Professional		$154.88	$223.87	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $4,073.80	Facility		$1,096.48	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $295.12	Professional		$107.15	$181.97	$295.12