Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $2,840.00 / $8,294.00	Facility		$69.08	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $135.36 / $178.53	Professional		$50.64	$135.36	$178.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $114.70 / $192.43	Professional		$50.14	$114.70	$192.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $77.08 / $916.00	Professional		$54.89	$77.08	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $151.71 / $302.10	Professional		$62.39	$151.71	$302.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $161.72 / $198.24	Professional		$111.01	$161.72	$198.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.72 / $144.93 / $267.80	Facility		$58.72	$144.93	$267.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $219.10 / $310.00	Professional		$118.44	$219.10	$310.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $82.28 / $805.00	Facility		$62.81	$82.28	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $214.95 / $805.00	Professional		$168.48	$214.95	$805.00
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 $137.06 / $233.60 / $381.52	Professional		$137.06	$233.60	$381.52