Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $1,174.90	Facility		$223.87	$630.96	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $346.74	Professional		$199.53	$239.88	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,202.26	Facility		$302.00	$302.00	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $213.80	Professional		$120.23	$120.23	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $4,677.35 / $6,918.31	Professional		$245.47	$4,677.35	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $1,548.82	Facility		$309.03	$741.31	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $457.09	Professional		$141.25	$181.97	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $426.58	Professional		$302.00	$331.13	$426.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $512.86	Facility		$239.88	$331.13	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $630.96	Professional		$194.98	$194.98	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $10,000.00	Facility		$251.19	$354.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $10,000.00	Professional		$251.19	$354.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $363.08	Facility		$181.97	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $346.74	Professional		$125.89	$151.36	$346.74