Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $2,630.27 / $8,317.64	Facility		$52.48	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $131.83 / $288.40	Professional		$40.74	$131.83	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $100.00	Professional		$42.66	$58.88	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $933.25	Professional		$42.66	$58.88	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $158.49 / $398.11	Professional		$46.77	$158.49	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $323.59	Professional		$218.78	$263.03	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $501.19	Professional		$234.42	$295.12	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $144.54 / $354.81	Facility		$46.77	$144.54	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $1,174.90	Facility		$43.65	$58.88	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $1,479.11	Professional		$158.49	$251.19	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $2,398.83	Facility		$229.09	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $125.89 / $346.74	Professional		$41.69	$125.89	$346.74