Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.15 / $2,840.00 / $8,294.00	Facility		$105.15	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $136.62 / $189.02	Professional		$89.20	$136.62	$189.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $141.22 / $216.50	Professional		$88.18	$141.22	$216.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $107.01 / $215.09	Professional		$100.95	$107.01	$215.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $490.00	Facility		$153.58	$153.58	$490.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $156.31 / $284.14	Professional		$100.23	$156.31	$284.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $176.08 / $270.27	Professional		$138.40	$176.08	$270.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $159.22 / $258.48	Facility		$101.05	$159.22	$258.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $206.00 / $283.00	Professional		$167.00	$206.00	$283.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $125.04 / $211.48	Facility		$95.73	$125.04	$211.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $194.48 / $344.75	Professional		$137.40	$194.48	$344.75
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 $119.82 / $187.81 / $290.81	Professional		$119.82	$187.81	$290.81