Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $334.08 / $420.00	Facility		$128.00	$334.08	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $150.00 / $164.00	Professional		$128.00	$150.00	$164.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.60 / $974.00 / $1,230.00	Facility		$759.60	$974.00	$1,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $22.16	Professional		$13.28	$13.28	$22.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $312.00	Professional		$160.00	$160.00	$312.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $372.13 / $1,024.91	Facility		$130.00	$372.13	$1,024.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $243.41 / $291.63	Professional		$243.41	$243.41	$291.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $296.00	Professional		$200.00	$240.00	$296.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $194.94 / $256.00	Facility		$135.68	$194.94	$256.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.00 / $396.00 / $480.00	Professional		$274.00	$396.00	$480.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $230.00 / $371.32	Facility		$149.40	$230.00	$371.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $230.00 / $370.00	Professional		$142.00	$230.00	$370.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $104.00 / $260.00	Professional		$84.00	$104.00	$260.00