Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,230.27 / $5,888.44	Facility		$104.71	$1,230.27	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $234.42	Professional		$57.54	$114.82	$234.42
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 $64.57 / $120.23 / $204.17	Professional		$64.57	$120.23	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $3,548.13	Professional		$64.57	$93.33	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $223.87	Professional		$63.10	$123.03	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $158.49 / $407.38	Professional		$53.70	$158.49	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $316.23	Professional		$144.54	$181.97	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $128.82 / $239.88	Facility		$66.07	$128.82	$239.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $8,709.64	Facility		$57.54	$81.28	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $8,709.64	Professional		$112.20	$169.82	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $218.78	Professional		$53.70	$107.15	$218.78