Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $3,991.00 / $8,920.00	Facility		$212.59	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $210.24 / $262.74	Professional		$170.12	$210.24	$262.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $216.54 / $352.97	Professional		$169.33	$216.54	$352.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $187.89 / $690.00	Professional		$187.89	$187.89	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.83 / $210.83 / $210.83	Facility		$210.83	$210.83	$210.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $249.47 / $402.68	Professional		$186.78	$249.47	$402.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $208.70 / $247.34	Professional		$168.95	$208.70	$247.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.72 / $252.99 / $384.74	Facility		$191.72	$252.99	$384.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $268.00 / $391.00	Professional		$236.00	$268.00	$391.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $187.55 / $257.00 / $447.56	Facility		$187.55	$257.00	$447.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $187.55 / $257.00 / $447.56	Professional		$187.55	$257.00	$447.56
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 $154.09 / $246.20 / $393.48	Professional		$154.09	$246.20	$393.48