Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,187.76 / $7,079.46	Facility		$109.65	$2,187.76	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $812.83	Professional		$87.10	$104.71	$812.83
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 $91.20 / $123.03 / $173.78	Professional		$91.20	$123.03	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $3,548.13	Professional		$100.00	$144.54	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $218.78	Professional		$95.50	$128.82	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $269.15	Professional		$85.11	$107.15	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $223.87	Professional		$128.82	$162.18	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $204.17	Facility		$95.50	$138.04	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $131.83 / $3,630.78	Facility		$91.20	$131.83	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $3,630.78	Professional		$91.20	$131.83	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $204.17	Professional		$79.43	$125.89	$204.17