Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,230.27 / $7,079.46	Facility		$128.82	$1,230.27	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $309.03	Professional		$109.65	$151.36	$309.03
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $95.50 / $190.55 / $478.63	Professional	54	$95.50	$190.55	$478.63
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 $120.23 / $177.83 / $309.03	Professional		$120.23	$177.83	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $1,047.13	Professional		$134.90	$194.98	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $269.15	Professional		$114.82	$151.36	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $194.98	Professional		$128.82	$162.18	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $281.84	Professional		$134.90	$169.82	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $245.47	Facility		$109.65	$151.36	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $1,288.25	Facility		$102.33	$147.91	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $1,288.25	Professional		$109.65	$151.36	$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 $89.13 / $138.04 / $239.88	Professional		$89.13	$138.04	$239.88