Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $371.54 / $691.83	Facility		$131.83	$371.54	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $199.53	Professional		$114.82	$141.25	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $707.95	Facility		$173.78	$173.78	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $123.03	Professional		$70.79	$70.79	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $158.49	Professional		$134.90	$141.25	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $436.52 / $891.25	Facility		$177.83	$436.52	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $269.15	Professional		$83.18	$107.15	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $245.47	Professional		$173.78	$194.98	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $295.12	Facility		$138.04	$194.98	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $371.54	Professional		$114.82	$114.82	$371.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $10,000.00	Facility		$144.54	$208.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $10,000.00	Professional		$144.54	$208.93	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $208.93	Facility		$104.71	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $199.53	Professional		$74.13	$87.10	$199.53