Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $3,235.94 / $8,912.51	Facility		$39.81	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $107.15	Professional		$40.74	$70.79	$107.15
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 $51.29 / $83.18 / $131.83	Professional		$51.29	$83.18	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $954.99	Professional		$53.70	$83.18	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $141.25	Professional		$50.12	$83.18	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $263.03	Professional		$39.81	$102.33	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $190.55	Professional		$104.71	$131.83	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $87.10 / $141.25	Facility		$46.77	$87.10	$141.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $1,659.59	Facility		$45.71	$64.57	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $1,659.59	Professional		$74.13	$104.71	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $138.04	Professional		$42.66	$77.62	$138.04