Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $3,226.00 / $8,294.00	Facility		$119.14	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $109.56 / $156.05	Professional		$65.45	$109.56	$156.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $116.34 / $177.30	Professional		$65.26	$116.34	$177.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $916.00	Professional		$77.81	$77.81	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.69 / $116.69 / $116.69	Facility		$116.69	$116.69	$116.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $123.14 / $212.20	Professional		$68.73	$123.14	$212.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $148.62 / $176.93	Professional		$132.44	$148.62	$176.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.42 / $118.26 / $198.18	Facility		$66.42	$118.26	$198.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $194.00 / $280.50	Professional		$168.00	$194.00	$280.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $95.46 / $1,098.00	Facility		$69.43	$95.46	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $172.19 / $1,098.00	Professional		$119.65	$172.19	$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 $106.70 / $148.87 / $241.13	Professional		$106.70	$148.87	$241.13