Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $549.54 / $1,288.25	Facility		$218.78	$549.54	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $338.84	Professional		$190.55	$234.42	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,174.90	Facility		$288.40	$288.40	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $204.17	Professional		$117.49	$117.49	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $512.86	Professional		$223.87	$346.74	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $1,318.26	Facility		$295.12	$724.44	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $457.09	Professional		$144.54	$177.83	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $407.38	Professional		$288.40	$323.59	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $338.84 / $501.19	Facility		$234.42	$338.84	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $616.60	Professional		$89.13	$338.84	$616.60
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 $173.78 / $288.40 / $346.74	Facility		$173.78	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $338.84	Professional		$123.03	$144.54	$338.84