Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $371.54 / $5,754.40	Facility		$177.83	$371.54	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $346.74	Professional		$134.90	$173.78	$346.74
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 $144.54 / $213.80 / $363.08	Professional		$144.54	$213.80	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $1,047.13	Professional		$158.49	$229.09	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $338.84	Professional		$141.25	$190.55	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $257.04	Professional		$169.82	$218.78	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $380.19	Professional		$173.78	$213.80	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $309.03	Facility		$138.04	$194.98	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $1,288.25	Facility		$125.89	$181.97	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $1,288.25	Professional		$134.90	$199.53	$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 $112.20 / $177.83 / $309.03	Professional		$112.20	$177.83	$309.03