Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $2,004.00 / $7,402.94	Facility		$104.25	$2,004.00	$7,402.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $124.41 / $231.95	Professional		$65.38	$124.41	$231.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $115.44 / $174.69	Professional		$60.06	$115.44	$174.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $93.48 / $3,026.00	Professional		$64.90	$93.48	$3,026.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $128.40 / $232.51	Professional		$64.84	$128.40	$232.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $144.84 / $178.64	Professional		$120.70	$144.84	$178.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $133.57 / $231.96	Facility		$68.50	$133.57	$231.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $178.00 / $264.00	Professional		$154.00	$178.00	$264.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $81.81 / $3,512.00	Facility		$61.80	$81.81	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $168.19 / $3,512.00	Professional		$117.47	$168.19	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $163.72 / $277.24	Professional		$103.52	$163.72	$277.24