Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $1,071.52	Facility		$245.47	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $512.86	Professional		$204.17	$239.88	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $446.68	Professional		$213.80	$309.03	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $295.12 / $446.68	Professional		$107.15	$295.12	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,348.96	Facility		$588.84	$831.76	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $645.65	Professional		$169.82	$316.23	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $562.34	Professional		$389.05	$512.86	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $257.04	Professional		$138.04	$208.93	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $467.74	Facility		$173.78	$316.23	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $1,202.26	Facility		$112.20	$363.08	$1,202.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $363.08 / $1,230.27	Professional		$109.65	$363.08	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $213.80 / $3,388.44	Facility		$54.95	$213.80	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $524.81	Professional		$123.03	$288.40	$524.81