Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.39 / $3,633.00 / $8,920.00	Facility		$82.39	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $90.16 / $99.71	Professional		$72.75	$90.16	$99.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $475.00 / $670.20	Professional		$382.50	$475.00	$670.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $437.00	Professional		$380.00	$380.00	$437.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.19 / $108.19 / $108.19	Facility		$108.19	$108.19	$108.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Professional		$450.57	$450.57	$450.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $103.04 / $122.67	Professional		$92.77	$103.04	$122.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $83.89 / $130.62	Facility		$59.97	$83.89	$130.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $158.99 / $223.80	Professional		$128.00	$158.99	$223.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $139.13 / $1,421.00	Facility		$77.59	$139.13	$1,421.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $139.13 / $1,421.00	Professional		$77.59	$139.13	$1,421.00
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 $60.10 / $80.65 / $133.71	Professional		$60.10	$80.65	$133.71