Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,819.70 / $6,606.93	Facility		$234.42	$1,819.70	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $630.96	Professional		$97.72	$234.42	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $478.63	Professional		$109.65	$263.03	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $1,737.80	Professional		$95.50	$109.65	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $524.81 / $660.69	Facility		$457.09	$524.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $512.86	Professional		$114.82	$263.03	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $707.95	Professional		$275.42	$346.74	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $724.44	Professional		$426.58	$724.44	$724.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $512.86	Facility		$109.65	$275.42	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $741.31	Facility		$104.71	$138.04	$741.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $1,258.93	Professional		$295.12	$380.19	$1,258.93
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 $100.00 / $239.88 / $524.81	Professional		$100.00	$239.88	$524.81