Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $3,633.00 / $8,920.00	Facility		$60.58	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $88.58 / $126.42	Professional		$58.10	$88.58	$126.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $80.03 / $117.36	Professional		$50.14	$80.03	$117.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $93.85 / $916.00	Professional		$60.20	$93.85	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $92.27 / $201.26	Professional		$60.35	$92.27	$201.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $97.92 / $120.77	Professional		$81.59	$97.92	$120.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $100.20 / $165.28	Facility		$63.97	$100.20	$165.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $123.53 / $220.00	Professional		$107.00	$123.53	$220.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $79.23 / $1,169.82	Facility		$55.54	$79.23	$1,169.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $131.46 / $1,169.82	Professional		$83.10	$131.46	$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 $73.04 / $132.15 / $266.27	Professional		$73.04	$132.15	$266.27