Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $630.96 / $5,011.87	Facility		$186.21	$630.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $489.78	Professional		$138.04	$257.04	$489.78
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 $154.88 / $257.04 / $426.58	Professional		$154.88	$257.04	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $707.95 / $1,047.13	Professional		$134.90	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $251.19	Facility		$34.67	$34.67	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $398.11	Professional		$154.88	$251.19	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $371.54	Professional		$239.88	$309.03	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Professional		$239.88	$239.88	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $354.81	Facility		$134.90	$223.87	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $4,073.80	Facility		$120.23	$204.17	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $4,073.80	Professional		$186.21	$323.59	$4,073.80
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 $125.89 / $208.93 / $371.54	Professional		$125.89	$208.93	$371.54