Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,630.78 / $12,882.50	Facility		$218.78	$3,630.78	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $426.58	Professional		$141.25	$208.93	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $186.21	Professional		$0.02	$0.02	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $380.19	Professional		$245.47	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $302.00	Professional		$204.17	$245.47	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $398.11	Facility		$154.88	$257.04	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $263.03 / $1,479.11	Facility		$154.88	$263.03	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $1,479.11	Professional		$154.88	$263.03	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,202.26 / $2,454.71	Facility		$218.78	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $338.84 / $660.69	Professional		$117.49	$338.84	$660.69