Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,235.94 / $8,317.64	Facility		$100.00	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $199.53	Professional		$69.18	$91.20	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $81.28	Professional		$32.36	$45.71	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $954.99	Professional		$51.29	$75.86	$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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $131.83	Professional		$89.13	$107.15	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $169.82	Facility		$69.18	$107.15	$169.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $123.03 / $1,659.59	Facility		$60.26	$123.03	$1,659.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $1,659.59	Professional		$87.10	$123.03	$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 $63.10 / $102.33 / $165.96	Professional		$63.10	$102.33	$165.96