Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,570.40 / $7,079.46	Facility		$173.78	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $354.81	Professional		$95.50	$190.55	$354.81
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 $107.15 / $199.53 / $354.81	Professional		$107.15	$199.53	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $3,890.45	Professional		$97.72	$112.20	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,412.54 / $1,584.89	Facility		$338.84	$1,412.54	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $354.81	Professional		$97.72	$186.21	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $467.74	Professional		$229.09	$281.84	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $323.59	Professional		$190.55	$229.09	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $363.08	Facility		$100.00	$199.53	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $371.54	Professional		$104.71	$104.71	$371.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $123.03 / $870.96	Facility		$75.86	$123.03	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $891.25	Professional		$177.83	$257.04	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $13,803.84	Facility		$1,071.52	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $309.03	Professional		$77.62	$162.18	$309.03