Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,548.82 / $5,754.40	Facility		$125.89	$1,548.82	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $309.03 / $1,148.15	Professional		$67.61	$309.03	$1,148.15
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 $74.13 / $338.84 / $954.99	Professional		$74.13	$338.84	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $2,570.40	Professional		$63.10	$75.86	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $870.96	Facility		$489.78	$794.33	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $954.99	Professional		$75.86	$181.97	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,096.48	Professional		$537.03	$676.08	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $691.83 / $1,023.29	Professional		$123.03	$691.83	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $288.40 / $1,023.29	Facility		$77.62	$288.40	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $181.97	Professional		$102.33	$102.33	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $812.83	Facility		$70.79	$95.50	$812.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $2,041.74	Professional		$524.81	$724.44	$2,041.74
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 $64.57 / $213.80 / $977.24	Professional		$64.57	$213.80	$977.24