Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.18 / $4,796.00 / $9,539.00	Facility		$215.18	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.28 / $215.18 / $227.84	Professional		$156.28	$215.18	$227.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.35 / $213.07 / $296.98	Professional		$167.35	$213.07	$296.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $202.22 / $389.38	Professional		$199.68	$202.22	$389.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $238.64 / $469.92	Professional		$186.78	$238.64	$469.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $206.47 / $254.65	Professional		$172.06	$206.47	$254.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.88 / $253.47 / $341.65	Facility		$177.88	$253.47	$341.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $256.00 / $423.55	Professional		$232.00	$256.00	$423.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.98 / $250.98 / $3,658.00	Facility		$180.98	$250.98	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $250.98 / $3,658.00	Professional		$180.98	$250.98	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.30 / $241.78 / $414.96	Professional		$166.30	$241.78	$414.96