Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.96 / $3,226.00 / $8,294.00	Facility		$175.96	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $217.39 / $373.44	Professional		$154.84	$217.39	$373.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.51 / $255.47 / $380.25	Professional		$177.51	$255.47	$380.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $240.74 / $916.00	Professional		$167.18	$240.74	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $230.75 / $397.09	Professional		$155.55	$230.75	$397.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $296.33 / $365.49	Professional		$246.95	$296.33	$365.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $232.01 / $355.14	Facility		$164.39	$232.01	$355.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $246.00 / $447.00	Professional		$204.00	$246.00	$447.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $135.30 / $187.49 / $394.64	Facility		$135.30	$187.49	$394.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $256.75 / $570.58	Professional		$153.52	$256.75	$570.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $3,102.00 / $6,380.00	Facility		$1,584.00	$3,102.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.81 / $232.59 / $436.09	Professional		$139.81	$232.59	$436.09