Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,630.27 / $8,317.64	Facility		$109.65	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $234.42 / $436.52	Professional		$93.33	$234.42	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $389.05	Professional		$91.20	$208.93	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $144.54	Professional		$85.11	$104.71	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $467.74	Professional		$93.33	$245.47	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $281.84 / $346.74	Professional		$74.13	$281.84	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.03 / $512.86	Facility		$100.00	$263.03	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $7,413.10	Facility		$81.28	$120.23	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $7,413.10	Professional		$251.19	$380.19	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $524.81	Professional		$85.11	$234.42	$524.81