Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,659.59 / $7,079.46	Facility		$112.20	$1,659.59	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $190.55	Professional		$74.13	$107.15	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $134.90	Professional		$72.44	$97.72	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $2,511.89	Professional		$85.11	$128.82	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $331.13	Professional		$63.10	$131.83	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $257.04	Professional		$151.36	$186.21	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $208.93	Facility		$79.43	$131.83	$208.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $3,311.31	Facility		$72.44	$104.71	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $3,311.31	Professional		$104.71	$147.91	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $199.53	Professional		$69.18	$117.49	$199.53