Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,122.02 / $5,495.41	Facility		$208.93	$1,122.02	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $281.84 / $630.96	Professional		$107.15	$281.84	$630.96
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 $114.82 / $275.42 / $489.78	Professional		$114.82	$275.42	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $2,511.89	Professional		$123.03	$186.21	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $851.14	Professional		$120.23	$281.84	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $380.19 / $977.24	Professional		$91.20	$380.19	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $691.83	Facility		$123.03	$302.00	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $3,311.31	Facility		$104.71	$151.36	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $3,311.31	Professional		$309.03	$630.96	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $251.19 / $870.96	Professional		$97.72	$251.19	$870.96