Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $3,388.44 / $8,912.51	Facility		$186.21	$3,388.44	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $309.03	Professional		$120.23	$173.78	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $158.49	Professional		$0.02	$0.02	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $380.19	Professional		$245.47	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $229.09	Professional		$154.88	$186.21	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $316.23	Facility		$131.83	$213.80	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $1,479.11	Facility		$147.91	$229.09	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $1,479.11	Professional		$147.91	$229.09	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $501.19	Professional		$114.82	$269.15	$501.19