Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,630.27 / $8,317.64	Facility		$75.86	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $281.84	Professional		$61.66	$128.82	$281.84
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 $67.61 / $154.88 / $275.42	Professional		$67.61	$154.88	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $2,511.89	Professional		$61.66	$75.86	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $125.89 / $616.60	Facility		$112.20	$125.89	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $302.00	Professional		$70.79	$151.36	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $457.09	Professional		$177.83	$213.80	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $288.40	Professional		$223.87	$251.19	$288.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $281.84	Facility		$72.44	$154.88	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $380.19	Professional		$138.04	$138.04	$380.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $691.83	Facility		$64.57	$89.13	$691.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $707.95	Professional		$134.90	$190.55	$707.95
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 $60.26 / $128.82 / $245.47	Professional		$60.26	$128.82	$245.47