Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $2,004.00 / $8,294.00	Facility		$58.79	$2,004.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $171.66 / $229.60	Professional		$48.36	$171.66	$229.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $129.41 / $257.04	Professional		$48.18	$129.41	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $83.45 / $916.00	Professional		$64.02	$83.45	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $169.42 / $379.07	Professional		$56.47	$169.42	$379.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $209.88 / $259.52	Professional		$174.90	$209.88	$259.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $174.90 / $306.89	Facility		$54.87	$174.90	$306.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $272.00 / $492.00	Professional		$114.19	$272.00	$492.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $69.20 / $819.00	Facility		$52.16	$69.20	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $209.62 / $273.02 / $875.74	Professional		$209.62	$273.02	$875.74
United Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $828.00 / $2,364.00	Facility		$217.00	$828.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $301.44 / $472.53	Professional		$170.34	$301.44	$472.53