Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $181.97 / $912.01	Facility		$25.70	$181.97	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $141.25 / $257.04	Professional		$21.88	$141.25	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $158.49 / $354.81	Professional		$26.30	$158.49	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $354.81	Professional		$20.42	$22.91	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $398.11 / $1,122.02	Facility		$51.29	$398.11	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $162.18 / $331.13	Professional		$23.99	$162.18	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $346.74	Professional		$147.91	$186.21	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $295.12	Professional		$218.78	$275.42	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $162.18 / $323.59	Facility		$25.12	$162.18	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $977.24	Professional		$45.71	$45.71	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $60.26	Facility		$22.39	$30.90	$60.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $467.74	Professional		$190.55	$251.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $645.65 / $2,041.74	Facility		$575.44	$645.65	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $120.23 / $309.03	Professional		$21.88	$120.23	$309.03