Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $4,365.16 / $9,549.93	Facility		$128.82	$4,365.16	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $194.98	Professional		$112.20	$128.82	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $7,079.46	Facility		$3,467.37	$5,248.07	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $229.09	Professional		$120.23	$162.18	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $199.53	Professional		$123.03	$154.88	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $309.03	Professional		$117.49	$162.18	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $346.74	Professional		$107.15	$134.90	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $288.40	Professional		$173.78	$223.87	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $251.19	Facility		$123.03	$173.78	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $5,248.07	Facility		$117.49	$165.96	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $5,248.07	Professional		$117.49	$165.96	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $263.03	Professional		$102.33	$158.49	$263.03