Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.43 / $3,226.00 / $8,294.00	Facility		$165.43	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $269.30 / $460.75	Professional		$154.29	$269.30	$460.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $258.58 / $395.30	Professional		$128.97	$258.58	$395.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $218.00 / $922.00	Professional		$174.68	$218.00	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.31 / $305.70 / $587.28	Professional		$153.31	$305.70	$587.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.82 / $336.98 / $415.61	Professional		$280.82	$336.98	$415.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.51 / $331.17 / $628.75	Facility		$164.51	$331.17	$628.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $382.00 / $484.00 / $719.00	Professional		$382.00	$484.00	$719.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $224.44 / $1,263.41	Facility		$143.16	$224.44	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $336.12 / $495.52 / $1,380.00	Professional		$336.12	$495.52	$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 $295.14 / $484.38 / $732.05	Professional		$295.14	$484.38	$732.05