Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,630.27 / $8,317.64	Facility		$125.89	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $295.12	Professional		$102.33	$147.91	$295.12
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 $112.20 / $162.18 / $257.04	Professional		$112.20	$162.18	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $812.83	Professional		$102.33	$114.82	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $346.74	Facility		$87.10	$95.50	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $316.23	Professional		$112.20	$169.82	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $389.05	Professional		$154.88	$190.55	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $281.84	Professional		$177.83	$218.78	$281.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $281.84	Facility		$112.20	$173.78	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $338.84	Professional		$117.49	$117.49	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $478.63	Facility		$104.71	$138.04	$478.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $691.83	Professional		$147.91	$194.98	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $812.83 / $2,398.83	Facility		$109.65	$812.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $263.03	Professional		$97.72	$154.88	$263.03