Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $2,561.00 / $8,294.00	Facility		$102.83	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $98.06 / $111.43	Professional		$84.41	$98.06	$111.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $105.19 / $148.32	Professional		$82.69	$105.19	$148.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $97.76 / $916.00	Professional		$97.76	$97.76	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $111.94 / $192.85	Professional		$84.35	$111.94	$192.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $112.33 / $133.72	Professional		$101.63	$112.33	$133.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.87 / $109.00 / $161.55	Facility		$83.87	$109.00	$161.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $126.15 / $205.54	Professional		$112.00	$126.15	$205.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $116.20 / $1,098.00	Facility		$85.08	$116.20	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $129.27 / $1,098.00	Professional		$96.30	$129.27	$1,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $833.00 / $2,375.00	Facility		$231.00	$833.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $106.00 / $182.74	Professional		$77.62	$106.00	$182.74