Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,230.27 / $7,079.46	Facility		$56.23	$1,230.27	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $181.97	Professional		$46.77	$95.50	$181.97
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 $45.71 / $61.66 / $93.33	Professional		$45.71	$61.66	$93.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $2,511.89	Professional		$56.23	$87.10	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $190.55	Professional		$52.48	$107.15	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $125.89 / $323.59	Professional		$40.74	$125.89	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $263.03	Professional		$123.03	$151.36	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $109.65 / $204.17	Facility		$48.98	$109.65	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $3,311.31	Facility		$45.71	$66.07	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $3,311.31	Professional		$100.00	$151.36	$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 $42.66 / $93.33 / $194.98	Professional		$42.66	$93.33	$194.98