Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $758.58 / $7,079.46	Facility		$147.91	$758.58	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $269.15	Professional		$117.49	$147.91	$269.15
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 $125.89 / $169.82 / $239.88	Professional		$125.89	$169.82	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $2,511.89	Professional		$147.91	$229.09	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $302.00	Professional		$128.82	$186.21	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $489.78	Professional		$109.65	$190.55	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $371.54	Professional		$223.87	$281.84	$371.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $302.00	Facility		$128.82	$194.98	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $3,311.31	Facility		$123.03	$177.83	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $3,311.31	Professional		$151.36	$208.93	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $4,073.80	Facility		$1,096.48	$2,137.96	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $295.12	Professional		$112.20	$186.21	$295.12