Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $3,630.78 / $9,549.93	Facility		$109.65	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $158.49	Professional		$89.13	$109.65	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $204.17	Professional		$107.15	$144.54	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $954.99	Professional		$125.89	$194.98	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $229.09	Professional		$102.33	$144.54	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $295.12	Professional		$93.33	$114.82	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $263.03	Professional		$177.83	$218.78	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $229.09	Facility		$107.15	$151.36	$229.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $1,659.59	Facility		$104.71	$147.91	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $1,659.59	Professional		$104.71	$147.91	$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 $91.20 / $144.54 / $234.42	Professional		$91.20	$144.54	$234.42