Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $484.09 / $913.08	Facility		$191.29	$484.09	$913.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $209.14 / $216.79	Professional		$191.29	$209.14	$216.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $255.05 / $1,253.57	Facility		$255.05	$255.05	$1,253.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $102.02 / $165.78	Professional		$102.02	$102.02	$165.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $397.88 / $1,145.14	Professional		$204.04	$397.88	$1,145.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $476.57 / $1,156.39	Facility		$165.78	$476.57	$1,156.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.31 / $156.83 / $421.17	Professional		$126.31	$156.83	$421.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $306.06 / $377.47	Professional		$255.05	$306.06	$377.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $202.77 / $296.77 / $433.58	Facility		$202.77	$296.77	$433.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $328.00 / $602.16	Professional		$255.00	$328.00	$602.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $212.84 / $296.57 / $9,929.00	Facility		$212.84	$296.57	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $215.85 / $297.98 / $9,929.00	Professional		$215.85	$297.98	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $127.53 / $292.20	Professional		$107.12	$127.53	$292.20