Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.18 / $191.15 / $3,594.48	Facility		$103.18	$191.15	$3,594.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $103.18 / $166.43	Professional		$81.68	$103.18	$166.43
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 $83.59 / $106.90 / $146.61	Professional		$83.59	$106.90	$146.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $161.86 / $3,774.00	Professional		$105.32	$161.86	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $122.47 / $231.58	Professional		$88.06	$122.47	$231.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $100.96 / $216.72	Professional		$84.13	$100.96	$216.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $122.67 / $188.30	Facility		$88.70	$122.67	$188.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $131.00 / $207.17	Professional		$115.00	$131.00	$207.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.39 / $124.01 / $3,512.00	Facility		$90.39	$124.01	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.39 / $124.01 / $3,512.00	Professional		$90.39	$124.01	$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 $75.41 / $128.62 / $200.83	Professional		$75.41	$128.62	$200.83