Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $2,670.00 / $8,294.00	Facility		$63.33	$2,670.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $109.70 / $163.53	Professional		$53.69	$109.70	$163.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $64.06 / $106.72	Professional		$50.09	$64.06	$106.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $69.59 / $794.00	Professional		$58.73	$69.59	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $640.00	Facility		$89.90	$89.90	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $107.42 / $194.50	Professional		$59.95	$107.42	$194.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $132.76 / $156.49	Professional		$103.72	$132.76	$156.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $115.03 / $190.15	Facility		$63.33	$115.03	$190.15
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $186.81 / $251.96 / $467.27	Facility	50	$186.81	$251.96	$467.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $162.00 / $256.70	Professional		$143.33	$162.00	$256.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $81.69 / $519.20	Facility		$57.85	$81.69	$519.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $161.56 / $530.13	Professional		$116.51	$161.56	$530.13
United Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $1,045.00 / $2,364.00	Facility		$231.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $141.80 / $218.78	Professional		$90.75	$141.80	$218.78