Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,949.84 / $7,079.46	Facility		$154.88	$1,949.84	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $389.05	Professional		$109.65	$208.93	$389.05
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 $120.23 / $213.80 / $354.81	Professional		$120.23	$213.80	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $2,570.40	Professional		$112.20	$128.82	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $346.74	Facility		$144.54	$162.18	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $380.19	Professional		$114.82	$194.98	$380.19
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 $190.55 / $218.78 / $407.38	Professional		$190.55	$218.78	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $354.81	Facility		$114.82	$204.17	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $338.84	Professional		$134.90	$134.90	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $794.33	Facility		$109.65	$134.90	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $870.96	Professional		$173.78	$234.42	$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 $97.72 / $165.96 / $302.00	Professional		$97.72	$165.96	$302.00