Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $8,317.64	Facility		$204.17	$331.13	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $467.74	Professional		$169.82	$218.78	$467.74
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 / $288.40 / $489.78	Professional		$194.98	$288.40	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $1,047.13	Professional		$213.80	$316.23	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $416.87	Professional		$173.78	$229.09	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $331.13	Professional		$213.80	$275.42	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $436.52	Professional		$213.80	$269.15	$436.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $380.19	Facility		$169.82	$234.42	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $1,288.25	Facility		$162.18	$229.09	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $1,288.25	Professional		$169.82	$229.09	$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 $134.90 / $208.93 / $363.08	Professional		$134.90	$208.93	$363.08