Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,630.27 / $8,317.64	Facility		$194.98	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $389.05	Professional		$165.96	$199.53	$389.05
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 $173.78 / $257.04 / $446.68	Professional		$173.78	$257.04	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $933.25	Professional		$190.55	$275.42	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $416.87	Professional		$177.83	$239.88	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $295.12	Professional		$194.98	$245.47	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $446.68	Professional		$234.42	$288.40	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $380.19	Facility		$169.82	$239.88	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $1,288.25	Facility		$169.82	$229.09	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $1,288.25	Professional		$177.83	$251.19	$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 $141.25 / $218.78 / $380.19	Professional		$141.25	$218.78	$380.19