Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,754.23 / $7,079.46	Facility		$213.80	$2,754.23	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $302.00	Professional		$138.04	$208.93	$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 / $251.19 / $389.05	Professional		$162.18	$251.19	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,513.56 / $2,511.89	Professional		$165.96	$1,513.56	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,318.26	Facility		$263.03	$263.03	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $389.05	Professional		$154.88	$234.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $338.84	Professional		$213.80	$281.84	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $323.59	Professional		$281.84	$281.84	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $354.81	Facility		$144.54	$223.87	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $3,311.31	Facility		$141.25	$208.93	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $3,311.31	Professional		$208.93	$316.23	$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 $134.90 / $213.80 / $380.19	Professional		$134.90	$213.80	$380.19