Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $3,645.00 / $8,294.00	Facility		$206.94	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $181.76 / $245.24	Professional		$156.41	$181.76	$245.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $210.26 / $347.62	Professional		$164.42	$210.26	$347.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $194.02 / $910.00	Professional		$187.90	$194.02	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $572.00	Facility		$203.62	$203.62	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $226.88 / $396.11	Professional		$163.38	$226.88	$396.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $215.53 / $251.38	Professional		$168.38	$215.53	$251.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.90 / $236.02 / $341.60	Facility		$175.90	$236.02	$341.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $259.82 / $340.00	Professional		$179.00	$259.82	$340.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $239.63 / $805.00	Facility		$169.54	$239.63	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.54 / $239.63 / $805.00	Professional		$169.54	$239.63	$805.00
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,364.00	Facility		$206.00	$819.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $220.93 / $347.49	Professional		$144.08	$220.93	$347.49