Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $912.01 / $5,888.44	Facility		$354.81	$912.01	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $407.38 / $831.76	Professional		$181.97	$407.38	$831.76
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 $194.98 / $263.03 / $416.87	Professional		$194.98	$263.03	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $1,737.80	Professional		$190.55	$234.42	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,023.29	Facility		$457.09	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $758.58	Professional		$223.87	$389.05	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $977.24	Professional		$446.68	$588.84	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $891.25	Professional		$549.54	$691.83	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $812.83	Facility		$223.87	$446.68	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,096.48	Professional		$398.11	$398.11	$1,096.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $288.40 / $870.96	Facility		$204.17	$288.40	$870.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,778.28	Professional		$426.58	$562.34	$1,778.28
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 $186.21 / $371.54 / $724.44	Professional		$186.21	$371.54	$724.44