Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,235.94 / $8,912.51	Facility		$173.78	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $457.09	Professional		$151.36	$257.04	$457.09
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 $162.18 / $245.47 / $416.87	Professional		$162.18	$245.47	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $1,047.13	Professional		$147.91	$199.53	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $512.86	Professional		$169.82	$288.40	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $501.19	Professional		$323.59	$416.87	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $645.65	Professional		$309.03	$389.05	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $288.40 / $501.19	Facility		$165.96	$288.40	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $1,288.25	Facility		$147.91	$208.93	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $1,348.96	Professional		$229.09	$346.74	$1,348.96
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 $134.90 / $251.19 / $467.74	Professional		$134.90	$251.19	$467.74