Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $2,561.00 / $8,294.00	Facility		$310.94	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $207.30 / $353.25	Professional		$166.43	$207.30	$353.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $209.08 / $345.67	Professional		$163.50	$209.08	$345.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $220.21 / $910.00	Professional		$196.41	$220.21	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $420.00	Facility		$202.08	$202.08	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $237.84 / $392.79	Professional		$170.03	$237.84	$392.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $216.72 / $250.58	Professional		$169.31	$216.72	$250.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $245.65 / $363.80	Facility		$180.23	$245.65	$363.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $260.76 / $353.00	Professional		$231.00	$260.76	$353.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.20 / $245.64 / $805.00	Facility		$177.20	$245.64	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $245.64 / $805.00	Professional		$177.20	$245.64	$805.00
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 $143.81 / $227.08 / $338.47	Professional		$143.81	$227.08	$338.47