Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $3,226.00 / $8,294.00	Facility		$59.49	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $70.23 / $116.93	Professional		$46.25	$70.23	$116.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $73.75 / $111.99	Professional		$47.07	$73.75	$111.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $54.74 / $916.00	Professional		$51.44	$54.74	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $83.79 / $83.79	Facility		$83.79	$83.79	$83.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $78.86 / $140.78	Professional		$50.27	$78.86	$140.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $93.92 / $111.81	Professional		$84.63	$93.92	$111.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $74.79 / $112.07	Facility		$47.58	$74.79	$112.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $113.00 / $153.00	Professional		$96.00	$113.00	$153.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $69.19 / $1,098.00	Facility		$52.57	$69.19	$1,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $102.61 / $1,098.00	Professional		$79.38	$102.61	$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 $63.04 / $83.36 / $143.30	Professional		$63.04	$83.36	$143.30