Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $549.54 / $5,248.07	Facility		$257.04	$549.54	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $588.84	Professional		$173.78	$288.40	$588.84
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 $199.53 / $316.23 / $501.19	Professional		$199.53	$316.23	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $707.95 / $1,047.13	Professional		$173.78	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $331.13	Facility		$34.67	$34.67	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $489.78	Professional		$199.53	$302.00	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $436.52	Professional		$275.42	$363.08	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Professional		$323.59	$323.59	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $436.52	Facility		$177.83	$281.84	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $4,073.80	Facility		$158.49	$263.03	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $4,073.80	Professional		$245.47	$389.05	$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 $162.18 / $263.03 / $467.74	Professional		$162.18	$263.03	$467.74