Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.88 / $1,938.00 / $7,144.64	Facility		$247.88	$1,938.00	$7,144.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $247.87 / $685.00	Professional		$198.46	$247.87	$685.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.41 / $250.71 / $344.95	Professional		$192.41	$250.71	$344.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $238.25 / $916.00	Professional		$238.25	$238.25	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.50 / $243.50 / $243.50	Facility		$243.50	$243.50	$243.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $190.88 / $190.88 / $190.88	Facility	52	$190.88	$190.88	$190.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.86 / $23.86 / $23.86	Facility	AS	$23.86	$23.86	$23.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $267.44 / $424.61	Professional		$201.08	$267.44	$424.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $242.68 / $288.89	Professional		$219.56	$242.68	$288.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $249.17 / $350.06	Facility		$199.29	$249.17	$350.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $40.40 / $58.95 / $58.95	Facility	80	$40.40	$58.95	$58.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $28.28 / $34.34 / $41.27	Facility	AS	$28.28	$34.34	$41.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $309.00 / $496.03	Professional		$274.00	$309.00	$496.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.24 / $298.95 / $1,169.82	Facility		$218.24	$298.95	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $298.95 / $1,169.82	Professional		$218.24	$298.95	$1,169.82
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 $179.94 / $247.41 / $403.27	Professional		$179.94	$247.41	$403.27