Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $3,645.00 / $8,294.00	Facility		$247.14	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $247.14 / $291.88	Professional		$198.12	$247.14	$291.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $250.73 / $414.53	Professional		$196.07	$250.73	$414.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.71 / $233.71 / $910.00	Professional		$233.71	$233.71	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $572.00	Facility		$242.82	$242.82	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $283.06 / $473.47	Professional		$202.32	$283.06	$473.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $257.52 / $300.47	Professional		$201.19	$257.52	$300.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $287.50 / $408.05	Facility		$217.27	$287.50	$408.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $310.67 / $419.00	Professional		$278.00	$310.67	$419.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $211.13 / $292.99 / $819.00	Facility		$211.13	$292.99	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $292.99 / $819.00	Professional		$211.13	$292.99	$819.00
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 $172.03 / $280.66 / $432.67	Professional		$172.03	$280.66	$432.67