Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.62 / $1,719.00 / $6,827.70	Facility		$131.62	$1,719.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $119.18 / $226.83	Professional		$76.73	$119.18	$226.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $120.30 / $177.33	Professional		$77.75	$120.30	$177.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $916.00	Professional		$73.33	$73.33	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $138.88 / $138.88	Facility		$138.88	$138.88	$138.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $130.69 / $231.41	Professional		$85.53	$130.69	$231.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $145.86 / $173.64	Professional		$131.21	$145.86	$173.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $119.28 / $181.40	Facility		$78.56	$119.28	$181.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $175.00 / $264.00	Professional		$161.00	$175.00	$264.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $112.48 / $1,098.00	Facility		$82.56	$112.48	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $159.01 / $1,098.00	Professional		$116.91	$159.01	$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 $97.52 / $133.62 / $233.64	Professional		$97.52	$133.62	$233.64