Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $302.00	Facility		$120.23	$120.23	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $223.87	Professional		$102.33	$125.89	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $676.08	Facility		$467.74	$549.54	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $239.88	Professional		$123.03	$169.82	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $794.33	Professional		$102.33	$213.80	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $1,047.13	Facility		$141.25	$257.04	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Professional		$109.65	$194.98	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $181.97	Professional		$128.82	$173.78	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $331.13	Professional		$263.03	$288.40	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $208.93 / $354.81	Facility		$123.03	$208.93	$354.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $302.00	Facility		$64.57	$125.89	$302.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $162.18 / $363.08	Professional		$64.57	$162.18	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $269.15 / $1,047.13	Facility		$117.49	$269.15	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $302.00	Professional		$117.49	$190.55	$302.00