Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,570.40 / $7,079.46	Facility		$154.88	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $354.81	Professional		$85.11	$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 $95.50 / $190.55 / $346.74	Professional		$95.50	$190.55	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $2,570.40	Professional		$85.11	$102.33	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $616.60 / $645.65	Facility		$323.59	$616.60	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $354.81	Professional		$97.72	$199.53	$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 $245.47 / $281.84 / $323.59	Professional		$245.47	$281.84	$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 $165.96 / $165.96 / $436.52	Professional		$165.96	$165.96	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $794.33	Facility		$89.13	$123.03	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $870.96	Professional		$194.98	$257.04	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $5,754.40	Facility		$512.86	$2,818.38	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $323.59	Professional		$83.18	$165.96	$323.59