Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.35 / $3,645.00 / $8,294.00	Facility		$132.35	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $121.98 / $165.89	Professional		$106.00	$121.98	$165.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $134.41 / $222.22	Professional		$105.10	$134.41	$222.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $126.20 / $910.00	Professional		$126.20	$126.20	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $572.00	Facility		$130.16	$130.16	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $152.18 / $253.91	Professional		$109.67	$152.18	$253.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $138.25 / $161.22	Professional		$108.01	$138.25	$161.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.94 / $154.85 / $242.20	Facility		$115.94	$154.85	$242.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $168.00 / $226.00	Professional		$147.00	$168.00	$226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $157.37 / $563.73	Facility		$113.83	$157.37	$563.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $157.37 / $563.73	Professional		$113.83	$157.37	$563.73
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 $93.02 / $152.08 / $254.51	Professional		$93.02	$152.08	$254.51