Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,584.89 / $7,244.36	Facility		$93.33	$1,584.89	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $251.19	Professional		$52.48	$109.65	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $134.90	Professional		$54.95	$79.43	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $933.25	Professional		$52.48	$77.62	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $194.98	Professional		$57.54	$104.71	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $186.21	Professional		$123.03	$158.49	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $107.15 / $190.55	Facility		$54.95	$107.15	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $1,288.25	Facility		$54.95	$81.28	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $1,288.25	Professional		$112.20	$162.18	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $204.17	Professional		$48.98	$100.00	$204.17