Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,318.26 / $5,248.07	Facility		$138.04	$1,318.26	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $380.19	Professional		$79.43	$165.96	$380.19
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 $87.10 / $165.96 / $288.40	Professional		$87.10	$165.96	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $1,737.80	Professional		$77.62	$93.33	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $724.44 / $794.33	Facility		$323.59	$724.44	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $323.59	Professional		$89.13	$165.96	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $331.13	Professional		$165.96	$204.17	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $407.38	Professional		$234.42	$288.40	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $316.23	Facility		$91.20	$177.83	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $446.68	Professional		$173.78	$173.78	$446.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $794.33	Facility		$83.18	$112.20	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $812.83	Professional		$169.82	$218.78	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $5,754.40	Facility		$512.86	$2,884.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $288.40	Professional		$77.62	$147.91	$288.40