Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,630.27 / $8,317.64	Facility		$89.13	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $177.83	Professional		$67.61	$89.13	$177.83
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 $67.61 / $97.72 / $138.04	Professional		$67.61	$97.72	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $354.81 / $2,511.89	Professional		$69.18	$354.81	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $154.88	Professional		$67.61	$95.50	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $123.03	Professional		$57.54	$95.50	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $125.89	Professional		$93.33	$100.00	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $151.36	Facility		$66.07	$95.50	$151.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $4,073.80	Facility		$47.86	$102.33	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $4,073.80	Professional		$63.10	$112.20	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $134.90	Professional		$51.29	$70.79	$134.90