Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,737.80 / $5,248.07	Facility		$186.21	$1,737.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $676.08	Professional		$104.71	$245.47	$676.08
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 $107.15 / $154.88 / $263.03	Professional		$107.15	$154.88	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $2,511.89	Professional		$107.15	$165.96	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $426.58	Professional		$109.65	$223.87	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Professional		$269.15	$323.59	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $239.88 / $416.87	Facility		$107.15	$239.88	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $2,691.53	Facility		$104.71	$144.54	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $2,691.53	Professional		$251.19	$338.84	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $446.68	Professional		$93.33	$204.17	$446.68