Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.49 / $5,087.00 / $8,294.00	Facility		$224.49	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $205.74 / $265.51	Professional		$173.89	$205.74	$265.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $228.33 / $377.49	Professional		$178.55	$228.33	$377.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $191.13 / $910.00	Professional		$191.13	$191.13	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $640.00	Facility		$221.10	$221.10	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $251.11 / $430.02	Professional		$178.43	$251.11	$430.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $233.89 / $272.89	Professional		$182.73	$233.89	$272.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.28 / $260.72 / $370.67	Facility		$196.28	$260.72	$370.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $282.30 / $368.00	Professional		$222.00	$282.30	$368.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $191.67 / $258.62 / $805.00	Facility		$191.67	$258.62	$805.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $258.62 / $805.00	Professional		$191.67	$258.62	$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 $151.07 / $241.70 / $373.18	Professional		$151.07	$241.70	$373.18