Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $926.62 / $6,827.70	Facility		$64.76	$926.62	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $103.92 / $227.53	Professional		$37.03	$103.92	$227.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $113.93 / $262.83	Professional		$36.40	$113.93	$262.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $38.58 / $676.00	Professional		$38.58	$38.58	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $97.00 / $300.42	Professional		$41.44	$97.00	$300.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $201.06 / $246.40	Professional		$167.55	$201.06	$246.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $122.86 / $285.26	Facility		$43.20	$122.86	$285.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $213.05 / $310.00	Professional		$180.00	$213.05	$310.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $39.69 / $54.26 / $92.24	Facility		$39.69	$54.26	$92.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $221.51 / $413.63	Professional		$146.83	$221.51	$413.63
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 $122.56 / $210.27 / $341.49	Professional		$122.56	$210.27	$341.49