Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,630.78 / $8,317.64	Facility		$131.83	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $331.13	Professional		$102.33	$125.89	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $281.84	Professional		$112.20	$162.18	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $954.99	Professional		$112.20	$162.18	$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 $109.65 / $147.91 / $234.42	Professional		$109.65	$147.91	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $141.25	Professional		$95.50	$120.23	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $263.03	Professional		$173.78	$218.78	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $245.47	Facility		$107.15	$151.36	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $154.88 / $1,288.25	Facility		$109.65	$154.88	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $1,288.25	Professional		$109.65	$154.88	$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 $87.10 / $138.04 / $234.42	Professional		$87.10	$138.04	$234.42