Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $2,570.40 / $7,079.46	Facility		$117.49	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $223.87	Professional		$93.33	$112.20	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $208.93	Professional		$107.15	$147.91	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $776.25 / $1,047.13	Professional		$112.20	$776.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,318.26	Facility		$186.21	$186.21	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $229.09	Professional		$102.33	$141.25	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $173.78	Professional		$109.65	$144.54	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $213.80	Facility		$100.00	$134.90	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $4,073.80	Facility		$102.33	$151.36	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $4,073.80	Professional		$117.49	$165.96	$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 $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78