Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.55 / $4,771.00 / $9,539.00	Facility		$233.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.07 / $233.55 / $266.81	Professional		$186.07	$233.55	$266.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $242.48 / $400.89	Professional		$189.61	$242.48	$400.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $243.30 / $910.00	Professional		$243.30	$243.30	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $1,700.00	Facility		$234.11	$234.11	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $262.83 / $458.39	Professional		$192.44	$262.83	$458.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $246.15 / $290.89	Professional		$190.20	$246.15	$290.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $273.25 / $427.40	Facility		$210.32	$273.25	$427.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $297.00 / $390.00	Professional		$260.00	$297.00	$390.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.82 / $269.50 / $805.00	Facility		$197.82	$269.50	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $269.50 / $805.00	Professional		$197.82	$269.50	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,148.00 / $2,375.00	Facility		$231.00	$1,148.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $255.56 / $395.93	Professional		$158.05	$255.56	$395.93