Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,630.27 / $8,317.64	Facility		$56.23	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $204.17	Professional		$47.86	$114.82	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $223.87	Professional		$53.70	$114.82	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $933.25	Professional		$50.12	$61.66	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $257.04	Professional		$51.29	$107.15	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $186.21	Professional		$125.89	$151.36	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $870.96	Professional		$257.04	$323.59	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $123.03 / $288.40	Facility		$52.48	$123.03	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $1,174.90	Facility		$46.77	$66.07	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $1,174.90	Professional		$120.23	$199.53	$1,174.90
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 $47.86 / $109.65 / $295.12	Professional		$47.86	$109.65	$295.12