Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,570.40 / $7,079.46	Facility		$181.97	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $316.23	Professional		$123.03	$162.18	$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 $141.25 / $208.93 / $302.00	Professional		$141.25	$208.93	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $812.83 / $1,071.52	Professional		$117.49	$812.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $1,318.26	Facility		$234.42	$234.42	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $323.59	Professional		$144.54	$186.21	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $263.03	Professional		$169.82	$218.78	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $245.47	Professional		$199.53	$199.53	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $269.15	Facility		$128.82	$181.97	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $1,479.11	Facility		$85.11	$177.83	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $1,659.59	Professional		$125.89	$208.93	$1,659.59
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 $114.82 / $165.96 / $302.00	Professional		$114.82	$165.96	$302.00