Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.53 / $4,032.00 / $8,920.00	Facility		$196.53	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $196.53 / $390.22	Professional		$173.28	$196.53	$390.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $201.61 / $276.50	Professional		$157.65	$201.61	$276.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $287.41 / $916.00	Professional		$199.59	$287.41	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $249.53 / $439.16	Professional		$172.92	$249.53	$439.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $195.34 / $240.91	Professional		$162.78	$195.34	$240.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.28 / $240.74 / $324.23	Facility		$173.28	$240.74	$324.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $245.72 / $434.00	Professional		$220.00	$245.72	$434.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $188.31 / $249.27 / $819.00	Facility		$188.31	$249.27	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $188.31 / $249.27 / $819.00	Professional		$188.31	$249.27	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $269.79 / $382.68	Professional		$151.47	$269.79	$382.68