Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,698.24 / $2,884.03	Facility		$104.71	$1,698.24	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $275.42	Professional		$87.10	$117.49	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $109.65	Professional		$85.11	$102.33	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $154.88	Professional		$95.50	$114.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $794.33	Facility		$389.05	$436.52	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $316.23	Professional		$85.11	$158.49	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $158.49	Professional		$107.15	$128.82	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $275.42	Facility		$97.72	$138.04	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $109.65 / $354.81	Facility		$25.70	$109.65	$354.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $128.82 / $2,511.89	Professional		$30.20	$128.82	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $186.21 / $537.03	Facility		$70.79	$186.21	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21