Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,570.40 / $7,079.46	Facility		$186.21	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $331.13	Professional		$125.89	$173.78	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $323.59	Professional		$128.82	$190.55	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $2,511.89	Professional		$131.83	$204.17	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $346.74	Professional		$134.90	$194.98	$346.74
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 $208.93 / $263.03 / $416.87	Professional		$208.93	$263.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $323.59	Facility		$138.04	$199.53	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $3,162.28	Facility		$125.89	$173.78	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $3,162.28	Professional		$154.88	$218.78	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $309.03	Professional		$112.20	$181.97	$309.03