Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,122.02 / $7,079.46	Facility		$275.42	$1,122.02	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $416.87	Professional		$131.83	$208.93	$416.87
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 $165.96 / $257.04 / $398.11	Professional		$165.96	$257.04	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,513.56 / $2,511.89	Professional		$173.78	$1,513.56	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,318.26	Facility		$269.15	$269.15	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $407.38	Professional		$158.49	$239.88	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $338.84	Professional		$218.78	$288.40	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $295.12	Professional		$257.04	$257.04	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $363.08	Facility		$144.54	$223.87	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $213.80 / $1,659.59	Facility		$120.23	$213.80	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $1,659.59	Professional		$199.53	$323.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,511.89	Facility		$229.09	$1,202.26	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $389.05	Professional		$131.83	$213.80	$389.05