Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $4,365.16 / $14,791.08	Facility		$107.15	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $120.23	Professional		$57.54	$97.72	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $83.18	Professional		$33.88	$47.86	$83.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $954.99	Professional		$60.26	$89.13	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $147.91	Professional		$100.00	$120.23	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $181.97	Facility		$74.13	$112.20	$181.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $1,659.59	Facility		$69.18	$131.83	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $1,659.59	Professional		$95.50	$131.83	$1,659.59
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 $70.79 / $112.20 / $181.97	Professional		$70.79	$112.20	$181.97