Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.91 / $3,355.00 / $8,920.00	Facility		$247.91	$3,355.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $437.02 / $758.06	Professional		$142.86	$437.02	$758.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $347.72 / $572.70	Professional		$137.40	$347.72	$572.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $220.79 / $922.00	Professional		$162.19	$220.79	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $399.92 / $979.48	Professional		$158.86	$399.92	$979.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.23 / $483.88 / $597.29	Professional		$403.23	$483.88	$597.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $172.81 / $403.23 / $912.06	Facility		$172.81	$403.23	$912.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $794.00 / $915.00	Professional		$544.00	$794.00	$915.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $200.23 / $1,263.41	Facility		$151.19	$200.23	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $528.78 / $794.23 / $1,408.37	Professional		$528.78	$794.23	$1,408.37
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 $492.14 / $875.81 / $1,193.67	Professional		$492.14	$875.81	$1,193.67