Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,041.74 / $7,079.46	Facility		$199.53	$2,041.74	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $524.81	Professional		$112.20	$223.87	$524.81
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 $112.20 / $165.96 / $245.47	Professional		$112.20	$165.96	$245.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $245.47 / $346.74	Professional	50	$165.96	$245.47	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $354.81 / $1,047.13	Professional		$114.82	$354.81	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $446.68	Professional		$112.20	$229.09	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $288.40 / $363.08	Professional		$97.72	$288.40	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Professional		$380.19	$380.19	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $457.09	Facility		$107.15	$223.87	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $151.36 / $4,073.80	Facility		$89.13	$151.36	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $4,073.80	Professional		$234.42	$338.84	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $371.54	Professional		$87.10	$190.55	$371.54