Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $3,630.78 / $13,489.63	Facility		$147.91	$3,630.78	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $389.05	Professional		$131.83	$151.36	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $165.96	Professional		$0.02	$0.02	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $933.25	Professional		$151.36	$218.78	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $302.00	Professional		$138.04	$181.97	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $173.78	Professional		$117.49	$147.91	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $331.13	Professional		$194.98	$245.47	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $295.12	Facility		$131.83	$186.21	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $1,288.25	Facility		$134.90	$190.55	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $1,288.25	Professional		$134.90	$190.55	$1,288.25
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 $107.15 / $165.96 / $288.40	Professional		$107.15	$165.96	$288.40