Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $448.69 / $8,920.00	Facility		$72.84	$448.69	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $148.75 / $202.69	Professional		$62.39	$148.75	$202.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $141.97 / $289.19	Professional		$62.71	$141.97	$289.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $76.00 / $445.10	Professional		$55.91	$76.00	$445.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $171.62 / $222.40	Facility		$107.24	$171.62	$222.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $168.40 / $321.66	Professional		$70.81	$168.40	$321.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $229.49 / $282.16	Professional		$191.24	$229.49	$282.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $168.00 / $318.70	Facility		$72.84	$168.00	$318.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $243.00 / $367.00	Professional		$208.00	$243.00	$367.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $69.54 / $94.28 / $153.57	Facility		$69.54	$94.28	$153.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $175.68 / $240.92 / $435.72	Professional		$175.68	$240.92	$435.72
United Facility/Professional Professional Modifier Low / Median / High Price $154.80 / $223.23 / $379.33	Professional		$154.80	$223.23	$379.33