Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,995.26 / $8,317.64	Facility		$151.36	$1,995.26	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $426.58	Professional		$102.33	$154.88	$426.58
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 $104.71 / $154.88 / $263.03	Professional		$104.71	$154.88	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $2,511.89	Professional		$102.33	$134.90	$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 $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $239.88	Professional		$158.49	$204.17	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $162.18 / $263.03	Facility		$107.15	$162.18	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $2,691.53	Facility		$102.33	$141.25	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $2,691.53	Professional		$138.04	$190.55	$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 $91.20 / $151.36 / $257.04	Professional		$91.20	$151.36	$257.04