Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,019.95 / $7,244.36	Facility		$199.53	$3,019.95	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $562.34	Professional		$144.54	$234.42	$562.34
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 $141.25 / $204.17 / $288.40	Professional		$141.25	$204.17	$288.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $309.03 / $426.58	Professional	50	$208.93	$309.03	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $2,290.87 / $3,548.13	Professional		$147.91	$2,290.87	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $407.38	Professional		$141.25	$229.09	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $346.74	Professional		$125.89	$269.15	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $426.58	Professional		$346.74	$416.87	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $398.11	Facility		$141.25	$239.88	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $8,709.64	Facility		$128.82	$190.55	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $8,709.64	Professional		$213.80	$316.23	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $338.84	Professional		$112.20	$190.55	$338.84