Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $1,938.00 / $8,294.00	Facility		$93.59	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $114.96 / $205.96	Professional		$80.20	$114.96	$205.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $95.50 / $157.88	Professional		$74.68	$95.50	$157.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $94.56 / $794.00	Professional		$87.56	$94.56	$794.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $640.00	Facility		$138.24	$138.24	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $127.37 / $225.81	Professional		$86.97	$127.37	$225.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $147.00 / $173.73	Professional		$113.90	$147.00	$173.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $132.03 / $203.44	Facility		$93.59	$132.03	$203.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $162.00 / $223.00	Professional		$142.00	$162.00	$223.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $109.37 / $546.39	Facility		$81.62	$109.37	$546.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $152.85 / $557.89	Professional		$115.22	$152.85	$557.89
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 $94.74 / $153.97 / $225.28	Professional		$94.74	$153.97	$225.28