Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $3,226.00 / $8,294.00	Facility		$79.26	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $97.90 / $133.69	Professional		$69.64	$97.90	$133.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $110.52 / $177.16	Professional		$68.20	$110.52	$177.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.23 / $676.00	Professional		$70.23	$70.23	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $117.77 / $204.73	Professional		$72.54	$117.77	$204.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $134.47 / $165.86	Professional		$111.30	$134.47	$165.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $129.49 / $249.18	Facility		$79.15	$129.49	$249.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $151.00 / $204.00	Professional		$123.00	$151.00	$204.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $99.61 / $195.91	Facility		$69.84	$99.61	$195.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $158.41 / $513.13	Professional		$111.48	$158.41	$513.13
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 $96.89 / $144.78 / $248.34	Professional		$96.89	$144.78	$248.34