Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.25 / $4,179.00 / $8,294.00	Facility		$190.25	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $174.69 / $258.54	Professional		$130.43	$174.69	$258.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $178.74 / $264.86	Professional		$128.52	$178.74	$264.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $151.62 / $916.00	Professional		$142.22	$151.62	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $232.24 / $232.24	Facility		$232.24	$232.24	$232.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $198.07 / $352.47	Professional		$141.50	$198.07	$352.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $213.87 / $254.61	Professional		$193.09	$213.87	$254.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $130.43 / $190.40 / $281.82	Facility		$130.43	$190.40	$281.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $270.00 / $352.00	Professional		$237.00	$270.00	$352.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $187.22 / $1,098.00	Facility		$137.00	$187.22	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $234.38 / $1,098.00	Professional		$170.15	$234.38	$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 $141.32 / $197.84 / $340.45	Professional		$141.32	$197.84	$340.45