Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $3,633.00 / $8,920.00	Facility		$150.85	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $129.19 / $158.26	Professional		$119.35	$129.19	$158.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $150.13 / $236.21	Professional		$117.40	$150.13	$236.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $145.99 / $690.00	Professional		$145.99	$145.99	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $178.28 / $291.51	Professional		$130.77	$178.28	$291.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $143.16 / $172.27	Professional		$115.90	$143.16	$172.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $180.98 / $276.06	Facility		$126.52	$180.98	$276.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $196.00 / $274.00	Professional		$171.00	$196.00	$274.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $129.51 / $184.89 / $320.35	Facility		$129.51	$184.89	$320.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $184.89 / $320.35	Professional		$129.51	$184.89	$320.35
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,148.00 / $2,364.00	Facility		$296.00	$1,148.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $176.50 / $284.73	Professional		$110.74	$176.50	$284.73