Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $2,630.27 / $8,317.64	Facility		$70.79	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $234.42	Professional		$58.88	$147.91	$234.42
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 $66.07 / $138.04 / $251.19	Professional		$66.07	$138.04	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $56.23	Professional		$46.77	$52.48	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $239.88	Facility		$81.28	$169.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $144.54 / $281.84	Professional		$58.88	$144.54	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $199.53	Professional		$125.89	$165.96	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $467.74	Professional		$186.21	$186.21	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $239.88	Facility		$60.26	$144.54	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $7,413.10	Facility		$57.54	$87.10	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $7,413.10	Professional		$134.90	$199.53	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $1,230.27	Facility		$354.81	$389.05	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $128.82 / $251.19	Professional		$56.23	$128.82	$251.19