Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $5,754.40 / $10,964.78	Facility		$229.09	$5,754.40	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $309.03	Professional		$112.20	$138.04	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $239.88	Professional		$128.82	$169.82	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $3,548.13	Professional		$144.54	$218.78	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $275.42	Professional		$128.82	$177.83	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $363.08	Professional		$114.82	$141.25	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $309.03	Professional		$229.09	$281.84	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $302.00	Facility		$128.82	$186.21	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $8,709.64	Facility		$125.89	$181.97	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $8,709.64	Professional		$125.89	$181.97	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $275.42	Professional		$109.65	$186.21	$275.42