Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,630.27 / $8,317.64	Facility		$208.93	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $524.81	Professional		$158.49	$245.47	$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 $154.88 / $223.87 / $323.59	Professional		$154.88	$223.87	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $707.95 / $3,548.13	Professional		$162.18	$707.95	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $446.68	Professional		$158.49	$251.19	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $380.19	Professional		$141.25	$295.12	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $407.38	Professional		$371.54	$398.11	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $436.52	Facility		$151.36	$257.04	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $4,073.80	Facility		$141.25	$213.80	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $4,073.80	Professional		$229.09	$331.13	$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 $125.89 / $208.93 / $371.54	Professional		$125.89	$208.93	$371.54