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 $83.32 / $96.61 / $110.26	Professional		$83.32	$96.61	$110.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $104.15 / $146.96	Professional		$82.69	$104.15	$146.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $85.91 / $916.00	Professional		$85.91	$85.91	$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 / $109.59 / $192.85	Professional		$84.35	$109.59	$192.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $110.70 / $131.79	Professional		$100.16	$110.70	$131.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $107.50 / $163.46	Facility		$83.32	$107.50	$163.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $128.00 / $205.54	Professional		$108.00	$128.00	$205.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $114.70 / $1,098.00	Facility		$85.10	$114.70	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $122.52 / $1,098.00	Professional		$91.43	$122.52	$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 $73.76 / $103.22 / $176.78	Professional		$73.76	$103.22	$176.78