Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $3,633.00 / $8,920.00	Facility		$98.99	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $149.91 / $708.78	Professional		$80.44	$149.91	$708.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $185.70 / $995.13	Professional		$86.37	$185.70	$995.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $99.78 / $426.36	Professional		$95.04	$99.78	$426.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.10 / $219.10 / $253.43	Facility		$219.10	$219.10	$253.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $218.57 / $1,018.15	Professional		$96.14	$218.57	$1,018.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $755.12 / $943.90	Professional		$87.61	$755.12	$943.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $187.80 / $755.12	Facility		$85.38	$187.80	$755.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $291.00 / $959.45	Professional		$239.00	$291.00	$959.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $123.32 / $211.99	Facility		$90.41	$123.32	$211.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $629.46 / $1,408.66	Professional		$216.48	$629.46	$1,408.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,959.00 / $5,226.00	Facility		$1,547.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.86 / $483.62 / $957.30	Professional		$159.86	$483.62	$957.30