Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.46 / $3,226.00 / $8,294.00	Facility		$225.46	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $352.36 / $733.32	Professional		$177.79	$352.36	$733.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.26 / $348.51 / $568.57	Professional		$178.26	$348.51	$568.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $207.09 / $916.00	Professional		$193.60	$207.09	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $319.83 / $319.83	Facility		$319.83	$319.83	$319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $395.57 / $624.75	Professional		$190.40	$395.57	$624.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.66 / $484.58 / $576.88	Professional		$431.66	$484.58	$576.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.36 / $368.17 / $576.99	Facility		$181.36	$368.17	$576.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $552.00 / $773.00	Professional		$457.00	$552.00	$773.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $263.00 / $1,169.82	Facility		$198.56	$263.00	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $401.33 / $523.73 / $1,380.00	Professional		$401.33	$523.73	$1,380.00
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 $321.45 / $424.44 / $724.76	Professional		$321.45	$424.44	$724.76