Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $3,226.00 / $8,294.00	Facility		$53.96	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $124.66 / $237.54	Professional		$43.56	$124.66	$237.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $51.98 / $86.43	Professional		$41.19	$51.98	$86.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $42.92 / $676.00	Professional		$42.92	$42.92	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $160.10 / $382.71	Professional		$47.91	$160.10	$382.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $239.78 / $293.85	Professional		$199.82	$239.78	$293.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $177.42 / $375.57	Facility		$52.08	$177.42	$375.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $214.00 / $355.00	Professional		$182.00	$214.00	$355.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $45.24 / $62.51 / $182.75	Facility		$45.24	$62.51	$182.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $163.79 / $253.51 / $483.65	Professional		$163.79	$253.51	$483.65
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $239.25 / $428.21	Professional		$160.78	$239.25	$428.21