Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,041.74 / $8,317.64	Facility		$100.00	$2,041.74	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $269.15	Professional		$69.18	$131.83	$269.15
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 $91.20 / $147.91 / $239.88	Professional		$91.20	$147.91	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $707.95 / $1,047.13	Professional		$93.33	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $147.91	Facility		$34.67	$34.67	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $223.87	Professional		$87.10	$138.04	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $204.17	Professional		$131.83	$173.78	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $169.82	Professional		$147.91	$147.91	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $208.93	Facility		$79.43	$131.83	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $4,073.80	Facility		$75.86	$120.23	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $4,073.80	Professional		$117.49	$190.55	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $218.78	Professional		$74.13	$123.03	$218.78