Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,630.78 / $8,317.64	Facility		$204.17	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $512.86	Professional		$154.88	$190.55	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $436.52	Professional		$173.78	$257.04	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $954.99	Professional		$173.78	$251.19	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $371.54	Professional		$162.18	$223.87	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $218.78	Professional		$147.91	$186.21	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $416.87	Professional		$263.03	$331.13	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $354.81	Facility		$162.18	$234.42	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $1,288.25	Facility		$165.96	$234.42	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $1,288.25	Professional		$165.96	$234.42	$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 $134.90 / $208.93 / $363.08	Professional		$134.90	$208.93	$363.08