Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,348.96 / $7,079.46	Facility		$257.04	$1,348.96	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $478.63	Professional		$162.18	$234.42	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $407.38	Professional		$177.83	$257.04	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $3,311.31	Professional		$165.96	$190.55	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $616.60	Facility		$131.83	$190.55	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $436.52	Professional		$169.82	$251.19	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $575.44	Professional		$229.09	$281.84	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $389.05	Professional		$269.15	$316.23	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $426.58	Facility		$169.82	$263.03	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Professional		$181.97	$181.97	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $794.33	Facility		$165.96	$204.17	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $1,000.00	Professional		$229.09	$281.84	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $5,754.40	Facility		$512.86	$2,884.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $389.05	Professional		$144.54	$229.09	$389.05