Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.98 / $3,633.00 / $8,920.00	Facility		$176.98	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $578.41 / $1,246.33	Professional		$118.95	$578.41	$1,246.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $376.73 / $762.87	Professional		$137.72	$376.73	$762.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $203.35 / $922.00	Professional		$150.63	$203.35	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $401.14 / $1,192.95	Professional		$144.38	$401.14	$1,192.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.51 / $641.41 / $795.26	Professional		$534.51	$641.41	$795.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $534.51 / $1,084.26	Facility		$170.45	$534.51	$1,084.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $909.00 / $1,075.00	Professional		$722.00	$909.00	$1,075.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $180.07 / $1,263.41	Facility		$136.36	$180.07	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $682.96 / $930.33 / $1,632.91	Professional		$682.96	$930.33	$1,632.91
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 $636.40 / $1,063.74 / $1,555.62	Professional		$636.40	$1,063.74	$1,555.62