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 / $16,595.87	Facility		$147.91	$3,630.78	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $275.42	Professional		$120.23	$144.54	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $251.19	Professional		$123.03	$165.96	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $794.33	Professional		$131.83	$151.36	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $275.42	Professional		$125.89	$169.82	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $218.78	Professional		$109.65	$131.83	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $257.04	Professional		$204.17	$218.78	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $257.04	Facility		$125.89	$169.82	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $562.34	Facility		$125.89	$165.96	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $562.34	Professional		$125.89	$165.96	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $812.83 / $2,398.83	Facility		$109.65	$812.83	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $263.03	Professional		$107.15	$162.18	$263.03