Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,737.80 / $5,888.44	Facility		$218.78	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $338.84	Professional		$87.10	$204.17	$338.84
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 $102.33 / $223.87 / $380.19	Professional		$102.33	$223.87	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $2,511.89	Professional		$123.03	$190.55	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $239.88 / $426.58	Professional		$109.65	$239.88	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $288.40 / $741.31	Professional		$81.28	$288.40	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $426.58	Facility		$95.50	$218.78	$426.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $3,311.31	Facility		$95.50	$134.90	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $3,311.31	Professional		$234.42	$331.13	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $426.58	Professional		$89.13	$204.17	$426.58