Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $5,087.00 / $8,294.00	Facility		$258.51	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.40 / $234.66 / $347.06	Professional		$207.40	$234.66	$347.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.75 / $265.67 / $439.23	Professional		$207.75	$265.67	$439.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.51 / $266.23 / $910.00	Professional		$246.51	$266.23	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $640.00	Facility		$256.99	$256.99	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.83 / $305.36 / $500.36	Professional		$219.83	$305.36	$500.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.05 / $272.70 / $317.54	Professional		$213.05	$272.70	$317.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $235.57 / $306.36 / $428.06	Facility		$235.57	$306.36	$428.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $330.00 / $454.00	Professional		$290.00	$330.00	$454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $223.68 / $304.68 / $819.00	Facility		$223.68	$304.68	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $304.68 / $819.00	Professional		$223.68	$304.68	$819.00
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 $184.45 / $282.82 / $436.22	Professional		$184.45	$282.82	$436.22