Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,235.94 / $8,912.51	Facility		$316.23	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $741.31	Professional		$263.03	$380.19	$741.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $316.23 / $398.11 / $691.83	Professional	54	$316.23	$398.11	$691.83
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 $288.40 / $426.58 / $741.31	Professional		$288.40	$426.58	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,047.13	Professional		$323.59	$426.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $660.69	Professional		$257.04	$346.74	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $512.86	Professional		$331.13	$426.58	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $707.95	Professional		$281.84	$354.81	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $575.44	Facility		$251.19	$354.81	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $1,348.96	Facility		$218.78	$346.74	$1,348.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,412.54	Professional		$245.47	$371.54	$1,412.54
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 $199.53 / $309.03 / $562.34	Professional		$199.53	$309.03	$562.34