Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $4,032.00 / $8,920.00	Facility		$98.40	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $98.40 / $200.55	Professional		$89.87	$98.40	$200.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $38.11 / $79.54	Professional		$29.80	$38.11	$79.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $57.35 / $910.00	Professional		$57.35	$57.35	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $640.00	Facility		$104.83	$104.83	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.55 / $436.55 / $436.55	Professional		$436.55	$436.55	$436.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $112.37 / $129.93	Professional		$87.79	$112.37	$129.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $107.74 / $167.28	Facility		$82.29	$107.74	$167.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $155.00 / $216.84	Professional		$125.00	$155.00	$216.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $117.04 / $982.00	Facility		$58.10	$117.04	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $118.39 / $982.00	Professional		$88.80	$118.39	$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 $70.45 / $107.60 / $160.72	Professional		$70.45	$107.60	$160.72