Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.61 / $2,582.00 / $8,294.00	Facility		$163.61	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $281.38 / $441.90	Professional		$153.38	$281.38	$441.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $251.04 / $367.57	Professional		$126.38	$251.04	$367.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.87 / $217.36 / $922.00	Professional		$170.87	$217.36	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $292.75 / $564.65	Professional		$150.08	$292.75	$564.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $310.27 / $382.67	Professional		$258.56	$310.27	$382.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $304.52 / $611.16	Facility		$163.01	$304.52	$611.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $465.00 / $697.00	Professional		$364.00	$465.00	$697.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $140.04 / $224.44 / $1,263.41	Facility		$140.04	$224.44	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $481.60 / $1,380.00	Professional		$314.18	$481.60	$1,380.00
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 $279.64 / $458.45 / $684.38	Professional		$279.64	$458.45	$684.38