Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $660.69 / $1,445.44	Facility		$223.87	$660.69	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $346.74	Professional		$208.93	$245.47	$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 / $1,000.00 / $1,479.11	Professional		$245.47	$1,000.00	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $1,380.38	Facility		$309.03	$741.31	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $489.78	Professional		$147.91	$190.55	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $416.87	Professional		$302.00	$331.13	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $524.81	Facility		$239.88	$363.08	$524.81
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 / $363.08 / $10,000.00	Facility		$251.19	$363.08	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $10,000.00	Professional		$257.04	$363.08	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $363.08	Facility		$199.53	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $380.19	Professional		$125.89	$154.88	$380.19