Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,570.40 / $7,079.46	Facility		$158.49	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $309.03	Professional		$125.89	$154.88	$309.03
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 $151.36 / $218.78 / $380.19	Professional		$151.36	$218.78	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $2,511.89	Professional		$158.49	$229.09	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $331.13	Professional		$138.04	$177.83	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $269.15	Professional		$173.78	$223.87	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $346.74	Professional		$158.49	$199.53	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $295.12	Facility		$141.25	$186.21	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $1,288.25	Facility		$128.82	$177.83	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $1,288.25	Professional		$128.82	$181.97	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $288.40	Professional		$104.71	$162.18	$288.40