Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $3,970.00 / $8,294.00	Facility		$179.27	$3,970.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $148.83 / $233.85	Professional		$96.51	$148.83	$233.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.22 / $160.72 / $244.05	Professional		$101.22	$160.72	$244.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $120.86 / $916.00	Professional		$120.86	$120.86	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.74 / $180.74 / $180.74	Facility		$180.74	$180.74	$180.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $168.43 / $297.20	Professional		$106.73	$168.43	$297.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $200.95 / $239.23	Professional		$180.19	$200.95	$239.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.06 / $162.91 / $269.35	Facility		$101.06	$162.91	$269.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $256.80 / $366.00	Professional		$228.00	$256.80	$366.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $149.21 / $1,098.00	Facility		$107.95	$149.21	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $228.96 / $1,098.00	Professional		$167.17	$228.96	$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 $141.47 / $194.23 / $331.66	Professional		$141.47	$194.23	$331.66