Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $4,032.00 / $10,767.00	Facility		$85.10	$4,032.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $85.10 / $154.75	Professional		$62.31	$85.10	$154.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $88.43 / $121.28	Professional		$69.15	$88.43	$121.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $105.30 / $183.34	Professional		$86.70	$105.30	$183.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $102.34 / $192.38	Professional		$72.45	$102.34	$192.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $84.82 / $104.61	Professional		$70.68	$84.82	$104.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $101.40 / $139.31	Facility		$70.68	$101.40	$139.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $109.00 / $174.58	Professional		$95.00	$109.00	$174.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $103.45 / $1,621.00	Facility		$75.95	$103.45	$1,621.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $103.45 / $1,621.00	Professional		$75.95	$103.45	$1,621.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $108.78 / $160.56	Professional		$63.86	$108.78	$160.56