Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,230.27 / $7,079.46	Facility		$208.93	$1,230.27	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $575.44	Professional		$177.83	$257.04	$575.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $190.55 / $302.00 / $758.58	Professional	54	$190.55	$302.00	$758.58
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 $194.98 / $281.84 / $489.78	Professional		$194.98	$281.84	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $1,047.13	Professional		$213.80	$309.03	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $436.52	Professional		$181.97	$234.42	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $346.74	Professional		$229.09	$295.12	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $467.74	Professional		$229.09	$281.84	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $398.11	Facility		$177.83	$239.88	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $1,288.25	Facility		$158.49	$229.09	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $1,288.25	Professional		$169.82	$245.47	$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 $138.04 / $213.80 / $380.19	Professional		$138.04	$213.80	$380.19