Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,365.16 / $14,791.08	Facility		$218.78	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $302.00	Professional		$91.20	$194.98	$302.00
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 $162.18 / $229.09 / $407.38	Professional		$162.18	$229.09	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $2,511.89	Professional		$107.15	$165.96	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $302.00	Professional		$204.17	$245.47	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $346.74	Facility		$141.25	$223.87	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $269.15 / $3,311.31	Facility		$125.89	$269.15	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $3,311.31	Professional		$194.98	$269.15	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $371.54	Professional		$141.25	$229.09	$371.54