Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.33 / $3,991.00 / $8,920.00	Facility		$296.33	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $296.33 / $325.25	Professional		$256.58	$296.33	$325.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.08 / $245.63 / $339.01	Professional		$192.08	$245.63	$339.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $311.10 / $311.10 / $606.64	Professional		$311.10	$311.10	$606.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $526.00 / $925.00	Facility		$330.96	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $390.05 / $1,234.79	Professional		$325.55	$390.05	$1,234.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $125.71 / $155.04	Professional		$104.76	$125.71	$155.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.70 / $304.98 / $500.81	Facility		$258.70	$304.98	$500.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $490.00 / $684.50	Professional		$360.00	$490.00	$684.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $289.20 / $370.19 / $641.05	Facility		$289.20	$370.19	$641.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $370.19 / $641.05	Professional		$289.20	$370.19	$641.05
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.39 / $353.79 / $539.26	Professional		$234.39	$353.79	$539.26