Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,230.27 / $8,317.64	Facility		$79.43	$1,230.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $269.15	Professional		$69.18	$128.82	$269.15
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 $72.44 / $120.23 / $199.53	Professional		$72.44	$120.23	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $707.95 / $1,047.13	Professional		$70.79	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $117.49	Facility		$34.67	$34.67	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $194.98	Professional		$72.44	$125.89	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $169.82	Professional		$109.65	$144.54	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Professional		$165.96	$165.96	$173.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $190.55	Facility		$69.18	$120.23	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $4,073.80	Facility		$67.61	$97.72	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $4,073.80	Professional		$109.65	$165.96	$4,073.80
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 $61.66 / $112.20 / $194.98	Professional		$61.66	$112.20	$194.98