Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,630.27 / $8,317.64	Facility		$181.97	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $501.19	Professional		$138.04	$288.40	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $302.00	Professional		$138.04	$186.21	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $933.25	Professional		$134.90	$190.55	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $575.44	Professional		$165.96	$302.00	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $489.78	Professional		$331.13	$398.11	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $812.83	Professional		$426.58	$537.03	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $602.56	Facility		$158.49	$323.59	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $1,258.93	Facility		$147.91	$223.87	$1,258.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,479.11	Professional		$323.59	$436.52	$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 $147.91 / $302.00 / $588.84	Professional		$147.91	$302.00	$588.84