Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $3,226.00 / $8,294.00	Facility		$72.23	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $122.20 / $190.04	Professional		$60.82	$122.20	$190.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $124.92 / $225.50	Professional		$60.12	$124.92	$225.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $61.87 / $676.00	Professional		$61.87	$61.87	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $136.36 / $282.23	Professional		$65.12	$136.36	$282.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $172.07 / $212.22	Professional		$143.09	$172.07	$212.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.89 / $163.32 / $347.77	Facility		$71.89	$163.32	$347.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $195.32 / $284.00	Professional		$169.00	$195.32	$284.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.55 / $90.01 / $189.27	Facility		$64.55	$90.01	$189.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $214.33 / $545.82	Professional		$148.65	$214.33	$545.82
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 $107.21 / $193.35 / $334.64	Professional		$107.21	$193.35	$334.64