Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $1,528.89 / $5,328.00	Facility		$105.36	$1,528.89	$5,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $114.42 / $290.63	Professional		$51.89	$114.42	$290.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $141.88 / $347.10	Professional		$57.47	$141.88	$347.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $60.56 / $778.00	Professional		$60.56	$60.56	$778.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $141.99 / $401.33	Professional		$60.05	$141.99	$401.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $270.47 / $331.46	Professional		$225.39	$270.47	$331.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $161.63 / $320.94	Facility		$61.26	$161.63	$320.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $179.29 / $287.00	Professional		$147.00	$179.29	$287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $80.41 / $164.55	Facility		$57.69	$80.41	$164.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $246.51 / $539.96	Professional		$136.88	$246.51	$539.96
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 $150.62 / $219.42 / $438.92	Professional		$150.62	$219.42	$438.92