Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $3,832.00 / $8,920.00	Facility		$197.83	$3,832.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.56 / $469.89 / $830.37	Professional		$169.56	$469.89	$830.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $378.28 / $614.08	Professional		$153.60	$378.28	$614.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $238.05 / $922.00	Professional		$181.47	$238.05	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $416.75 / $1,167.39	Professional		$173.85	$416.75	$1,167.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.61 / $517.92 / $638.91	Professional		$431.61	$517.92	$638.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $469.36 / $1,215.46	Facility		$197.11	$469.36	$1,215.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $863.00 / $992.00 / $1,412.00	Professional		$863.00	$992.00	$1,412.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $160.81 / $222.35 / $1,263.41	Facility		$160.81	$222.35	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $592.12 / $920.73 / $1,578.00	Professional		$592.12	$920.73	$1,578.00
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 $290.39 / $866.98 / $1,408.54	Professional		$290.39	$866.98	$1,408.54