Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $3,226.00 / $7,597.10	Facility		$120.22	$3,226.00	$7,597.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $120.22 / $200.83	Professional		$81.31	$120.22	$200.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $147.47 / $215.14	Professional		$94.84	$147.47	$215.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $146.02 / $7,369.00	Professional		$109.10	$146.02	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $137.27 / $256.24	Professional		$90.70	$137.27	$256.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $171.86 / $211.97	Professional		$143.22	$171.86	$211.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $132.24 / $201.09	Facility		$91.68	$132.24	$201.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $136.00 / $231.00	Professional		$119.00	$136.00	$231.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $111.43 / $5,122.00	Facility		$85.36	$111.43	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $156.04 / $5,122.00	Professional		$103.06	$156.04	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,632.74 / $17,321.00	Facility		$6,303.00	$9,632.74	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $141.58 / $247.08	Professional		$101.05	$141.58	$247.08