Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $630.00 / $999.00	Facility		$255.00	$630.00	$999.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $255.00 / $267.00	Professional		$225.00	$255.00	$267.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $1,474.50	Facility		$300.00	$300.00	$1,474.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $195.00	Professional		$120.00	$120.00	$195.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $526.50 / $1,449.84	Professional		$270.00	$526.50	$1,449.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $575.32 / $1,389.08	Facility		$195.00	$575.32	$1,389.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $185.45 / $503.57	Professional		$148.44	$185.45	$503.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $444.00	Professional		$300.00	$360.00	$444.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $376.04 / $539.10	Facility		$255.00	$376.04	$539.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $415.00 / $708.29	Professional		$300.00	$415.00	$708.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $246.14 / $345.00 / $4,071.00	Facility		$246.14	$345.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $345.19 / $4,071.00	Professional		$246.14	$345.19	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $150.00 / $378.94	Professional		$126.00	$150.00	$378.94