Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,288.25 / $7,079.46	Facility		$123.03	$1,288.25	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $426.58	Professional		$79.43	$177.83	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $933.25	Professional		$79.43	$109.65	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $354.81	Professional		$89.13	$177.83	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $275.42	Professional		$173.78	$213.80	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $467.74	Professional		$302.00	$380.19	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $190.55 / $371.54	Facility		$89.13	$190.55	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $1,174.90	Facility		$83.18	$114.82	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $1,380.38	Professional		$186.21	$275.42	$1,380.38
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 $81.28 / $181.97 / $371.54	Professional		$81.28	$181.97	$371.54