Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,630.27 / $8,317.64	Facility		$109.65	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $371.54	Professional		$95.50	$218.78	$371.54
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 $102.33 / $154.88 / $263.03	Professional		$102.33	$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 $104.71 / $223.87 / $426.58	Professional		$104.71	$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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $229.09 / $426.58	Facility		$102.33	$229.09	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $2,691.53	Facility		$100.00	$131.83	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $2,691.53	Professional		$223.87	$316.23	$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 $83.18 / $190.55 / $426.58	Professional		$83.18	$190.55	$426.58