Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $2,630.27	Facility		$158.49	$158.49	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $302.00	Professional		$114.82	$158.49	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $630.96	Professional		$302.00	$302.00	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $478.63 / $478.63	Facility		$213.80	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $354.81	Professional		$218.78	$275.42	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $549.54	Professional		$281.84	$363.08	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $524.81	Facility		$125.89	$204.17	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $346.74 / $891.25	Facility		$194.98	$346.74	$891.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $891.25	Professional		$194.98	$346.74	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $389.05	Facility		$190.55	$223.87	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $389.05	Professional		$147.91	$190.55	$389.05