Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $1,356.89 / $4,300.43	Facility		$137.97	$1,356.89	$4,300.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $137.97 / $142.54	Professional		$124.88	$137.97	$142.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.19 / $301.19 / $370.34	Professional		$301.19	$301.19	$370.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $146.62 / $178.85	Professional		$146.06	$146.62	$178.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $174.82	Professional		$166.41	$166.41	$174.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $235.47 / $313.95	Professional		$183.14	$235.47	$313.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $160.90 / $293.57	Facility		$76.44	$160.90	$293.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $343.66 / $435.80	Professional		$155.00	$343.66	$435.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.34 / $196.62 / $299.39	Facility		$143.34	$196.62	$299.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $196.62 / $299.39	Professional		$143.34	$196.62	$299.39
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $130.52 / $196.62	Professional		$118.40	$130.52	$196.62