Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $3,630.78 / $8,317.64	Facility		$169.82	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $467.74	Professional		$128.82	$151.36	$467.74
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 $147.91 / $204.17 / $281.84	Professional		$147.91	$204.17	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,737.80 / $2,754.23	Professional		$125.89	$1,737.80	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,659.59	Facility		$263.03	$263.03	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $380.19	Professional		$144.54	$204.17	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $208.93	Professional		$147.91	$173.78	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $446.68	Facility		$138.04	$186.21	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $245.47 / $2,630.27	Facility		$154.88	$245.47	$2,630.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $2,630.27	Professional		$154.88	$245.47	$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 $131.83 / $213.80 / $354.81	Professional		$131.83	$213.80	$354.81