Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.33 / $5,282.00 / $23,601.00	Facility		$207.33	$5,282.00	$23,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $123.80 / $176.23	Professional		$111.90	$123.80	$176.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $141.96	Professional		$0.02	$0.02	$141.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $168.00 / $897.00	Professional		$159.60	$168.00	$897.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $640.00	Facility		$131.69	$131.69	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $155.84 / $259.61	Professional		$111.62	$155.84	$259.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $142.11 / $167.89	Professional		$111.03	$142.11	$167.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $155.38 / $226.22	Facility		$121.96	$155.38	$226.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $203.04 / $271.06	Professional		$160.11	$203.04	$271.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $110.78 / $150.69 / $569.11	Facility		$110.78	$150.69	$569.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $150.69 / $569.11	Professional		$110.78	$150.69	$569.11
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $133.94 / $228.87	Professional		$91.33	$133.94	$228.87