Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $575.44 / $1,071.52	Facility		$204.17	$575.44	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $316.23	Professional		$181.97	$218.78	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,096.48	Facility		$275.42	$275.42	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $194.98	Professional		$109.65	$109.65	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $281.84	Professional		$239.88	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $1,412.54	Facility		$281.84	$676.08	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $416.87	Professional		$128.82	$165.96	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $302.00 / $467.74	Facility		$218.78	$302.00	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $575.44	Professional		$177.83	$177.83	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $10,000.00	Facility		$229.09	$323.59	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $10,000.00	Professional		$229.09	$323.59	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $331.13	Facility		$165.96	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $316.23	Professional		$114.82	$138.04	$316.23