Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,995.26 / $8,317.64	Facility		$147.91	$1,995.26	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $302.00	Professional		$83.18	$141.25	$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 $95.50 / $147.91 / $234.42	Professional		$95.50	$147.91	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $707.95 / $1,047.13	Professional		$89.13	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $158.49	Facility		$34.67	$34.67	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $239.88	Professional		$91.20	$144.54	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $204.17	Professional		$131.83	$173.78	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $213.80	Facility		$87.10	$138.04	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $4,073.80	Facility		$87.10	$128.82	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $4,073.80	Professional		$131.83	$194.98	$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 $83.18 / $134.90 / $229.09	Professional		$83.18	$134.90	$229.09