Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,570.40 / $7,079.46	Facility		$234.42	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $501.19	Professional		$134.90	$309.03	$501.19
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 $128.82 / $169.82 / $257.04	Professional		$128.82	$169.82	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $1,047.13	Professional		$134.90	$204.17	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $575.44	Professional		$141.25	$302.00	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $501.19 / $1,096.48	Professional		$114.82	$501.19	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $891.25	Professional		$316.23	$389.05	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $630.96	Facility		$151.36	$338.84	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $1,659.59	Facility		$125.89	$181.97	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,659.59	Professional		$269.15	$446.68	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $263.03 / $562.34	Professional		$117.49	$263.03	$562.34