Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.90 / $4,771.00 / $9,539.00	Facility		$180.90	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $180.90 / $253.62	Professional		$152.54	$180.90	$253.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $180.97 / $252.24	Professional		$142.13	$180.97	$252.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $255.54 / $922.00	Professional		$187.03	$255.54	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.55 / $219.18 / $366.94	Professional		$157.55	$219.18	$366.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $174.56 / $215.30	Professional		$145.47	$174.56	$215.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.90 / $221.60 / $319.07	Facility		$180.90	$221.60	$319.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $232.00 / $357.70	Professional		$203.00	$232.00	$357.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.94 / $223.06 / $1,169.82	Facility		$165.94	$223.06	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $223.06 / $1,169.82	Professional		$165.94	$223.06	$1,169.82
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 $140.32 / $232.34 / $333.08	Professional		$140.32	$232.34	$333.08