Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,630.27 / $8,317.64	Facility		$138.04	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $288.40	Professional		$102.33	$154.88	$288.40
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 $120.23 / $190.55 / $295.12	Professional		$120.23	$190.55	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $707.95 / $1,047.13	Professional		$125.89	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $199.53	Facility		$34.67	$34.67	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $302.00	Professional		$120.23	$177.83	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $251.19	Professional		$158.49	$208.93	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $263.03	Facility		$109.65	$165.96	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $4,073.80	Facility		$104.71	$162.18	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $4,073.80	Professional		$154.88	$234.42	$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 $102.33 / $158.49 / $281.84	Professional		$102.33	$158.49	$281.84