Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $1,938.00 / $7,977.24	Facility		$162.72	$1,938.00	$7,977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $314.36 / $790.93	Professional		$98.89	$314.36	$790.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $373.99 / $741.35	Professional		$86.85	$373.99	$741.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $676.00	Professional		$92.09	$92.09	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $227.13 / $833.20	Professional		$102.74	$227.13	$833.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.12 / $561.74 / $688.41	Professional		$468.12	$561.74	$688.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $106.36 / $272.85 / $870.89	Facility		$106.36	$272.85	$870.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $521.00 / $654.01 / $898.24	Professional		$521.00	$654.01	$898.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.49 / $135.30 / $225.74	Facility		$95.49	$135.30	$225.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $438.19 / $689.56 / $1,133.83	Professional		$438.19	$689.56	$1,133.83
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 $140.40 / $561.20 / $979.44	Professional		$140.40	$561.20	$979.44