Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.61 / $5,087.00 / $8,294.00	Facility		$197.61	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $173.20 / $235.01	Professional		$153.78	$173.20	$235.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $201.61 / $333.32	Professional		$157.65	$201.61	$333.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $177.74 / $910.00	Professional		$177.74	$177.74	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $640.00	Facility		$195.23	$195.23	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $226.78 / $379.93	Professional		$161.04	$226.78	$379.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $206.66 / $241.11	Professional		$161.44	$206.66	$241.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $230.38 / $327.45	Facility		$173.20	$230.38	$327.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $250.97 / $345.00	Professional		$207.00	$250.97	$345.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.17 / $231.09 / $805.00	Facility		$169.17	$231.09	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $231.09 / $805.00	Professional		$169.17	$231.09	$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 $138.94 / $217.51 / $331.23	Professional		$138.94	$217.51	$331.23