Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $5,412.00 / $9,869.64	Facility		$119.16	$5,412.00	$9,869.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $128.06 / $164.16	Professional		$106.81	$128.06	$164.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $270.39 / $382.11	Professional		$189.87	$270.39	$382.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $333.08 / $333.08	Professional		$299.77	$333.08	$333.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $142.26	Facility		$142.26	$142.26	$142.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $164.00 / $319.30	Professional		$117.83	$164.00	$319.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $121.84 / $155.04	Professional		$103.57	$121.84	$155.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.16 / $164.90 / $226.54	Facility		$119.16	$164.90	$226.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $220.00 / $233.00	Professional		$173.00	$220.00	$233.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $210.82 / $9,929.00	Facility		$120.51	$210.82	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $210.82 / $9,929.00	Professional		$120.51	$210.82	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $94.20 / $298.68	Professional		$53.71	$94.20	$298.68