Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.69 / $2,190.00 / $8,294.00	Facility		$170.69	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $158.99 / $190.18	Professional		$139.77	$158.99	$190.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $175.67 / $244.26	Professional		$139.47	$175.67	$244.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $174.99 / $916.00	Professional		$174.99	$174.99	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $256.52 / $256.52	Facility		$256.52	$256.52	$256.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.02 / $191.01 / $320.44	Professional		$140.02	$191.01	$320.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $181.14 / $215.64	Professional		$163.88	$181.14	$215.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.57 / $178.45 / $275.95	Facility		$139.57	$178.45	$275.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $226.00 / $342.36	Professional		$203.00	$226.00	$342.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $202.91 / $1,098.00	Facility		$152.66	$202.91	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $215.51 / $1,098.00	Professional		$160.08	$215.51	$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 $131.82 / $176.18 / $347.69	Professional		$131.82	$176.18	$347.69