Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $707.95 / $6,918.31	Facility		$131.83	$707.95	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $354.81	Professional		$85.11	$165.96	$354.81
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 $100.00 / $169.82 / $288.40	Professional		$100.00	$169.82	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $812.83 / $1,071.52	Professional		$81.28	$812.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,659.59	Facility		$162.18	$162.18	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $288.40	Professional		$95.50	$186.21	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $302.00	Professional		$190.55	$251.19	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $371.54	Professional		$316.23	$316.23	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $302.00	Facility		$93.33	$173.78	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $2,630.27	Facility		$97.72	$158.49	$2,630.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $2,630.27	Professional		$173.78	$251.19	$2,630.27
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 $89.13 / $173.78 / $309.03	Professional		$89.13	$173.78	$309.03