Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $569.40 / $1,074.00	Facility		$225.00	$569.40	$1,074.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $246.00 / $255.00	Professional		$225.00	$246.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $1,474.50	Facility		$300.00	$300.00	$1,474.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $195.00	Professional		$120.00	$120.00	$195.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $240.00 / $347.07	Professional		$168.88	$240.00	$347.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $511.01 / $1,359.76	Facility		$195.00	$511.01	$1,359.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $179.94 / $495.00	Professional		$52.56	$179.94	$495.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $444.00	Professional		$300.00	$360.00	$444.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.64 / $300.00 / $466.65	Facility		$111.64	$300.00	$466.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $311.75 / $708.29	Professional		$108.00	$311.75	$708.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $336.00 / $9,929.00	Facility		$106.94	$336.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $336.00 / $9,929.00	Professional		$106.94	$336.00	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $126.00 / $180.00	Professional		$36.79	$126.00	$180.00