Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $1,621.81	Facility		$245.47	$676.08	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $371.54	Professional		$218.78	$263.03	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,288.25	Facility		$323.59	$323.59	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Professional		$128.82	$128.82	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $707.95 / $1,047.13	Professional		$263.03	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $794.33 / $1,479.11	Facility		$331.13	$794.33	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $512.86	Professional		$162.18	$199.53	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $457.09	Professional		$323.59	$354.81	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $676.08	Facility		$257.04	$436.52	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $676.08 / $676.08	Professional		$134.90	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $10,000.00	Facility		$245.47	$389.05	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $10,000.00	Professional		$245.47	$389.05	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $389.05	Facility		$199.53	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $380.19	Professional		$134.90	$165.96	$380.19