Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.87 / $3,633.00 / $8,294.00	Facility		$188.87	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $278.27 / $383.39	Professional		$150.24	$278.27	$383.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $181.96 / $306.70	Professional		$140.63	$181.96	$306.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.13 / $180.13 / $690.00	Professional		$180.13	$180.13	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $320.35 / $622.83	Professional		$172.13	$320.35	$622.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.35 / $386.14 / $476.23	Professional		$320.35	$386.14	$476.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.71 / $337.03 / $615.71	Facility		$171.71	$337.03	$615.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $467.00 / $652.00	Professional		$408.00	$467.00	$652.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.39 / $235.17 / $398.29	Facility		$171.39	$235.17	$398.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.11 / $488.33 / $837.84	Professional		$352.11	$488.33	$837.84
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 $288.47 / $465.16 / $736.35	Professional		$288.47	$465.16	$736.35