Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,467.37 / $7,244.36	Facility		$199.53	$3,467.37	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $398.11	Professional		$120.23	$186.21	$398.11
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 $120.23 / $177.83 / $309.03	Professional		$120.23	$177.83	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $2,511.89	Professional		$125.89	$181.97	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $346.74	Professional		$125.89	$194.98	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $295.12	Professional		$199.53	$251.19	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $457.09	Professional		$239.88	$302.00	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $338.84	Facility		$125.89	$204.17	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $2,691.53	Facility		$117.49	$162.18	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $2,691.53	Professional		$181.97	$245.47	$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 $104.71 / $177.83 / $323.59	Professional		$104.71	$177.83	$323.59