Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,089.30 / $8,317.64	Facility		$138.04	$2,089.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $316.23	Professional		$120.23	$158.49	$316.23
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 $125.89 / $186.21 / $316.23	Professional		$125.89	$186.21	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $1,047.13	Professional		$138.04	$204.17	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $288.40	Professional		$125.89	$165.96	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $234.42	Professional		$154.88	$199.53	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $331.13	Professional		$154.88	$194.98	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $275.42	Facility		$120.23	$169.82	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $1,288.25	Facility		$104.71	$154.88	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,288.25	Professional		$123.03	$177.83	$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 $97.72 / $151.36 / $269.15	Professional		$97.72	$151.36	$269.15