Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,949.84 / $7,079.46	Facility		$186.21	$1,949.84	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $467.74	Professional		$104.71	$186.21	$467.74
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 / $190.55 / $316.23	Professional		$114.82	$190.55	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $1,659.59	Professional		$107.15	$123.03	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $616.60	Facility		$117.49	$169.82	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $354.81	Professional		$114.82	$186.21	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $467.74	Professional		$181.97	$223.87	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $331.13	Professional		$204.17	$239.88	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $316.23	Facility		$112.20	$190.55	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $380.19	Professional		$85.11	$85.11	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $457.09	Facility		$107.15	$141.25	$457.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $758.58	Professional		$169.82	$213.80	$758.58
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 / $165.96 / $281.84	Professional		$97.72	$165.96	$281.84