Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $912.80 / $2,836.08	Facility		$138.27	$912.80	$2,836.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $114.93 / $197.94	Professional		$93.81	$114.93	$197.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $121.44 / $166.55	Professional		$94.96	$121.44	$166.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $188.51 / $3,026.00	Professional		$120.24	$188.51	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $137.47 / $261.22	Professional		$100.14	$137.47	$261.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.60 / $141.34	Professional		$95.50	$114.60	$141.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $139.72 / $210.32	Facility		$100.99	$139.72	$210.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $148.00 / $235.85	Professional		$119.00	$148.00	$235.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.44 / $138.75 / $3,512.00	Facility		$102.44	$138.75	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $138.75 / $3,512.00	Professional		$102.44	$138.75	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $146.44 / $217.78	Professional		$85.06	$146.44	$217.78