Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,412.54 / $7,079.46	Facility		$177.83	$1,412.54	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $338.84	Professional		$107.15	$154.88	$338.84
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 $123.03 / $186.21 / $281.84	Professional		$123.03	$186.21	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,511.89 / $3,548.13	Professional		$125.89	$2,511.89	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $199.53	Facility		$34.67	$34.67	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $295.12	Professional		$120.23	$173.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $245.47	Professional		$158.49	$208.93	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $213.80	Professional		$169.82	$169.82	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $245.47	Facility		$109.65	$158.49	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $4,073.80	Facility		$107.15	$158.49	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $4,073.80	Professional		$131.83	$218.78	$4,073.80
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 $102.33 / $154.88 / $269.15	Professional		$102.33	$154.88	$269.15