Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.58 / $4,032.00 / $8,920.00	Facility		$352.58	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $352.58 / $366.11	Professional		$314.89	$352.58	$366.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $152.53 / $212.91	Professional		$121.39	$152.53	$212.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.50 / $463.89 / $463.89	Professional		$417.50	$463.89	$463.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $376.98 / $376.98	Facility		$376.98	$376.98	$376.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.48 / $1,568.48 / $1,568.48	Professional		$1,568.48	$1,568.48	$1,568.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.26 / $367.36 / $467.37	Professional		$312.26	$367.36	$467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $352.58 / $549.16	Facility		$256.38	$352.58	$549.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $555.00 / $779.62	Professional		$457.00	$555.00	$779.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $319.57 / $560.67 / $9,929.00	Facility		$319.57	$560.67	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $319.57 / $560.67 / $9,929.00	Professional		$319.57	$560.67	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $324.20 / $533.65	Professional		$244.42	$324.20	$533.65