Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.11 / $3,226.00 / $8,294.00	Facility		$108.11	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $126.78 / $175.69	Professional		$82.98	$126.78	$175.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $127.62 / $186.07	Professional		$82.55	$127.62	$186.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $117.34 / $916.00	Professional		$97.35	$117.34	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $146.44 / $258.29	Professional		$91.98	$146.44	$258.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.27 / $155.12 / $191.32	Professional		$129.27	$155.12	$191.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $166.40 / $239.53	Facility		$104.90	$166.40	$239.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $199.75 / $287.00	Professional		$187.00	$199.75	$287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.44 / $121.03 / $1,169.82	Facility		$90.44	$121.03	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $193.46 / $1,169.82	Professional		$144.38	$193.46	$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 $139.43 / $206.78 / $333.81	Professional		$139.43	$206.78	$333.81