Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $4,032.00 / $8,920.00	Facility		$100.33	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $100.33 / $375.27	Professional		$89.28	$100.33	$375.27
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 $58.67 / $58.67 / $910.00	Professional		$58.67	$58.67	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.95 / $108.95 / $640.00	Facility		$108.95	$108.95	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.71 / $453.71 / $453.71	Professional		$453.71	$453.71	$453.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $116.78 / $135.05	Professional		$91.25	$116.78	$135.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $109.45 / $168.06	Facility		$83.92	$109.45	$168.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $157.82 / $225.38	Professional		$124.45	$157.82	$225.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $119.31 / $982.00	Facility		$59.32	$119.31	$982.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $121.24 / $982.00	Professional		$90.18	$121.24	$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 $68.43 / $111.13 / $163.56	Professional		$68.43	$111.13	$163.56