Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $3,116.00 / $8,294.00	Facility		$212.66	$3,116.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $177.87 / $238.35	Professional		$128.49	$177.87	$238.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $194.50 / $286.52	Professional		$127.57	$194.50	$286.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $153.08 / $916.00	Professional		$153.08	$153.08	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $227.39	Facility		$227.39	$227.39	$227.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.52 / $205.37 / $373.98	Professional		$136.52	$205.37	$373.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $236.87 / $281.99	Professional		$212.66	$236.87	$281.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $201.17 / $310.04	Facility		$133.38	$201.17	$310.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $303.00 / $429.00	Professional		$265.00	$303.00	$429.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $189.14 / $1,098.00	Facility		$138.99	$189.14	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.53 / $266.88 / $1,098.00	Professional		$196.53	$266.88	$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 $164.24 / $223.14 / $384.09	Professional		$164.24	$223.14	$384.09