Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.90 / $5,042.39 / $15,165.00	Facility		$148.90	$5,042.39	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.18 / $146.97 / $180.10	Professional		$123.18	$146.97	$180.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $151.69 / $216.05	Professional		$119.51	$151.69	$216.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $149.08 / $285.42	Professional		$142.00	$149.08	$285.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $526.00 / $925.00	Facility		$147.79	$526.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $173.71 / $296.43	Professional		$128.41	$173.71	$296.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.68 / $146.08 / $214.48	Professional		$120.68	$146.08	$214.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $175.41 / $243.94	Facility		$134.85	$175.41	$243.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $180.00 / $295.70	Professional		$156.00	$180.00	$295.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $165.56 / $302.75	Facility		$133.41	$165.56	$302.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $165.56 / $302.75	Professional		$133.41	$165.56	$302.75
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 $108.18 / $165.76 / $257.81	Professional		$108.18	$165.76	$257.81