Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $2,840.00 / $8,294.00	Facility		$57.35	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $139.94 / $191.21	Professional		$48.56	$139.94	$191.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $128.54 / $232.01	Professional		$47.85	$128.54	$232.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $82.80 / $916.00	Professional		$63.56	$82.80	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $154.63 / $316.26	Professional		$56.06	$154.63	$316.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.09 / $192.11 / $236.93	Professional		$160.09	$192.11	$236.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $160.09 / $273.20	Facility		$54.87	$160.09	$273.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $232.00 / $406.00	Professional		$113.78	$232.00	$406.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $68.20 / $805.54	Facility		$51.79	$68.20	$805.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $226.27 / $819.00	Professional		$175.83	$226.27	$819.00
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 $142.05 / $244.94 / $371.36	Professional		$142.05	$244.94	$371.36