Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,570.40 / $7,079.46	Facility		$213.80	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $371.54	Professional		$114.82	$204.17	$371.54
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 $131.83 / $218.78 / $363.08	Professional		$131.83	$218.78	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $3,162.28	Professional		$117.49	$138.04	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,288.25 / $1,584.89	Facility		$323.59	$1,288.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $389.05	Professional		$120.23	$204.17	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $426.58	Professional		$208.93	$263.03	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $316.23	Professional		$234.42	$295.12	$316.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $213.80 / $371.54	Facility		$123.03	$213.80	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $478.63	Professional		$117.49	$117.49	$478.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $794.33	Facility		$117.49	$144.54	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $870.96	Professional		$199.53	$251.19	$870.96
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 $104.71 / $181.97 / $331.13	Professional		$104.71	$181.97	$331.13