Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $537.03 / $1,096.48	Facility		$208.93	$537.03	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $223.87 / $323.59	Professional		$89.13	$223.87	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,122.02	Facility		$281.84	$281.84	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $194.98	Professional		$112.20	$112.20	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,137.96 / $3,162.28	Professional		$257.04	$2,137.96	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $549.54 / $1,258.93	Facility		$181.97	$549.54	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $426.58	Professional		$138.04	$173.78	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $389.05	Professional		$281.84	$309.03	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $1,071.52	Facility		$223.87	$338.84	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $588.84 / $1,071.52	Professional		$30.20	$588.84	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $10,000.00	Facility		$239.88	$371.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $10,000.00	Professional		$239.88	$371.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $338.84	Facility		$169.82	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $323.59	Professional		$117.49	$141.25	$323.59