Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.25 / $1,938.00 / $6,827.70	Facility		$106.25	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $108.69 / $208.81	Professional		$67.15	$108.69	$208.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $107.25 / $162.86	Professional		$67.80	$107.25	$162.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $916.00	Professional		$63.92	$63.92	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $121.20 / $121.20	Facility		$121.20	$121.20	$121.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $113.53 / $200.67	Professional		$74.01	$113.53	$200.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $134.63 / $160.28	Professional		$120.66	$134.63	$160.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $108.71 / $160.97	Facility		$69.25	$108.71	$160.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $155.00 / $240.00	Professional		$133.00	$155.00	$240.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $97.78 / $1,098.00	Facility		$72.54	$97.78	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $144.54 / $1,098.00	Professional		$102.13	$144.54	$1,098.00
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 $81.93 / $122.50 / $213.15	Professional		$81.93	$122.50	$213.15