Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $5,011.87 / $8,317.64	Facility		$223.87	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $478.63	Professional		$169.82	$204.17	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $478.63	Professional		$190.55	$275.42	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $954.99	Professional		$190.55	$275.42	$954.99
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 $177.83 / $239.88 / $398.11	Professional		$177.83	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $239.88	Professional		$162.18	$199.53	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $446.68	Professional		$288.40	$363.08	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $398.11	Facility		$177.83	$251.19	$398.11
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 $181.97 / $257.04 / $1,288.25	Facility		$181.97	$257.04	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $1,288.25	Professional		$181.97	$257.04	$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 $144.54 / $229.09 / $389.05	Professional		$144.54	$229.09	$389.05