Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $4,796.00 / $9,918.00	Facility		$192.53	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $192.53 / $233.43	Professional		$159.94	$192.53	$233.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $197.68 / $296.54	Professional		$156.94	$197.68	$296.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.76 / $185.02 / $371.37	Professional		$184.76	$185.02	$371.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $192.58	Facility		$192.58	$192.58	$192.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $219.24 / $386.56	Professional		$165.11	$219.24	$386.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $196.56 / $276.10	Professional		$157.25	$196.56	$276.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.29 / $219.19 / $325.38	Facility		$171.29	$219.19	$325.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $237.00 / $385.42	Professional		$211.00	$237.00	$385.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $213.10 / $393.58	Facility		$165.70	$213.10	$393.58
Sentara Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $213.10 / $393.58	Professional		$165.70	$213.10	$393.58
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $204.95 / $353.91	Professional		$133.91	$204.95	$353.91