Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.39 / $3,226.00 / $8,294.00	Facility		$91.39	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $99.19 / $125.38	Professional		$79.79	$99.19	$125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $108.27 / $167.32	Professional		$78.37	$108.27	$167.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $80.31 / $676.00	Professional		$80.31	$80.31	$676.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $116.82 / $200.24	Professional		$84.53	$116.82	$200.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $122.88 / $147.50	Professional		$100.78	$122.88	$147.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.95 / $126.54 / $184.78	Facility		$86.95	$126.54	$184.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $138.47 / $186.10	Professional		$121.00	$138.47	$186.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $108.66 / $189.40	Facility		$79.58	$108.66	$189.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $136.00 / $238.41	Professional		$102.35	$136.00	$238.41
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 $85.27 / $125.56 / $205.92	Professional		$85.27	$125.56	$205.92