Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $478.63	Facility		$91.20	$257.04	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $151.36	Professional		$83.18	$100.00	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $489.78	Facility		$123.03	$123.03	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Professional		$60.26	$60.26	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $123.03	Professional		$107.15	$112.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $630.96	Facility		$125.89	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $213.80	Professional		$61.66	$85.11	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $169.82	Professional		$123.03	$134.90	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $229.09	Facility		$97.72	$147.91	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $257.04	Professional		$97.72	$97.72	$257.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $10,000.00	Facility		$109.65	$158.49	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $10,000.00	Professional		$112.20	$162.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $147.91	Facility		$91.20	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $165.96	Professional		$51.29	$67.61	$165.96