Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $812.83 / $8,317.64	Facility		$70.79	$812.83	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $134.90 / $275.42	Professional		$52.48	$134.90	$275.42
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 $58.88 / $128.82 / $251.19	Professional		$58.88	$128.82	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $707.95 / $1,047.13	Professional		$58.88	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $95.50	Facility		$34.67	$34.67	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $144.54 / $234.42	Professional		$56.23	$144.54	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $218.78	Professional		$138.04	$181.97	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $123.03 / $218.78	Facility		$52.48	$123.03	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $83.18 / $4,073.80	Facility		$56.23	$83.18	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $4,073.80	Professional		$151.36	$213.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $123.03 / $251.19	Professional		$52.48	$123.03	$251.19