Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.37 / $2,770.01 / $3,182.31	Facility		$200.37	$2,770.01	$3,182.31
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $465.08 / $3,182.31 / $3,437.45	Facility	25	$465.08	$3,182.31	$3,437.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $258.56 / $460.98	Professional		$183.23	$258.56	$460.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $437.18 / $468.70	Professional	25	$189.83	$437.18	$468.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.45 / $284.99 / $475.64	Professional		$211.45	$284.99	$475.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.20 / $259.20 / $505.44	Professional		$259.20	$259.20	$505.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $5,508.00	Facility		$286.33	$286.33	$5,508.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.09 / $301.05 / $561.90	Professional		$207.09	$301.05	$561.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.25 / $326.22 / $935.56	Professional		$237.25	$326.22	$935.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $289.88 / $466.30	Facility		$204.67	$289.88	$466.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $378.00 / $511.00	Professional		$333.00	$378.00	$511.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $222.90 / $269.94 / $446.29	Facility		$222.90	$269.94	$446.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $271.94 / $332.69 / $561.95	Professional		$271.94	$332.69	$561.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,214.85 / $5,214.85 / $5,214.85	Facility		$5,214.85	$5,214.85	$5,214.85
United Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $302.45 / $523.10	Professional		$208.36	$302.45	$523.10