Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $1,704.52 / $8,294.00	Facility		$95.73	$1,704.52	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $91.19 / $159.51	Professional		$65.41	$91.19	$159.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $82.14 / $135.80	Professional		$64.23	$82.14	$135.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $82.45 / $794.00	Professional		$73.39	$82.45	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $640.00	Facility		$118.00	$118.00	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $104.14 / $180.26	Professional		$74.77	$104.14	$180.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $113.22 / $133.69	Professional		$88.45	$113.22	$133.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $107.78 / $161.78	Facility		$81.23	$107.78	$161.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $129.72 / $191.25	Professional		$115.00	$129.72	$191.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $95.49 / $432.46	Facility		$71.26	$95.49	$432.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $122.27 / $441.55	Professional		$90.57	$122.27	$441.55
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 $76.51 / $122.24 / $189.60	Professional		$76.51	$122.24	$189.60