Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.28 / $4,032.00 / $13,176.03	Facility		$250.28	$4,032.00	$13,176.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $186.34 / $311.91	Professional		$160.87	$186.34	$311.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $185.45	Professional		$0.02	$0.02	$185.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $272.58 / $515.17	Professional		$272.58	$272.58	$515.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.70 / $796.70 / $796.70	Professional		$796.70	$796.70	$796.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $205.05 / $237.14	Professional		$160.22	$205.05	$237.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.52 / $239.99 / $363.61	Facility		$159.52	$239.99	$363.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $299.00 / $395.57	Professional		$75.00	$299.00	$395.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.54 / $223.80 / $982.00	Facility		$155.54	$223.80	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $155.54 / $223.80 / $982.00	Professional		$155.54	$223.80	$982.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $261.69 / $519.29	Professional		$118.09	$261.69	$519.29