Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $389.05 / $724.44	Facility		$138.04	$389.05	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $213.80	Professional		$123.03	$147.91	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $741.31	Facility		$186.21	$186.21	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $131.83	Professional		$74.13	$74.13	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $165.96	Professional		$141.25	$151.36	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $457.09 / $954.99	Facility		$190.55	$457.09	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $281.84	Professional		$87.10	$112.20	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $257.04	Professional		$186.21	$204.17	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $316.23	Facility		$147.91	$204.17	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $389.05	Professional		$120.23	$120.23	$389.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $10,000.00	Facility		$154.88	$218.78	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $10,000.00	Professional		$154.88	$218.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $223.87	Facility		$112.20	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $213.80	Professional		$77.62	$93.33	$213.80