Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,089.30 / $8,317.64	Facility		$169.82	$2,089.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $316.23	Professional		$109.65	$199.53	$316.23
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 $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,513.56 / $2,511.89	Professional		$158.49	$1,513.56	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,318.26	Facility		$251.19	$251.19	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $371.54	Professional		$147.91	$223.87	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $323.59	Professional		$208.93	$275.42	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $275.42	Professional		$239.88	$239.88	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $338.84	Facility		$138.04	$208.93	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $3,311.31	Facility		$114.82	$199.53	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $3,311.31	Professional		$190.55	$302.00	$3,311.31
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 $123.03 / $199.53 / $363.08	Professional		$123.03	$199.53	$363.08