Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.28 / $2,561.00 / $8,294.00	Facility		$186.28	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $177.39 / $211.49	Professional		$155.11	$177.39	$211.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $191.62 / $271.39	Professional		$151.96	$191.62	$271.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $177.59 / $916.00	Professional		$177.59	$177.59	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $279.39 / $279.39	Facility		$279.39	$279.39	$279.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $208.11 / $350.00	Professional		$152.44	$208.11	$350.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $201.81 / $240.25	Professional		$182.59	$201.81	$240.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $195.13 / $293.92	Facility		$152.29	$195.13	$293.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $255.00 / $373.06	Professional		$224.00	$255.00	$373.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $218.77 / $1,098.00	Facility		$162.91	$218.77	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $237.64 / $1,098.00	Professional		$176.48	$237.64	$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 $147.41 / $194.63 / $327.05	Professional		$147.41	$194.63	$327.05