Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,122.02	Facility		$223.87	$575.44	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $239.88 / $346.74	Professional		$61.66	$239.88	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,202.26	Facility		$302.00	$302.00	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $208.93	Professional		$120.23	$120.23	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $323.59	Professional		$151.36	$245.47	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $588.84 / $1,348.96	Facility		$194.98	$588.84	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $177.83 / $436.52	Professional		$48.98	$177.83	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $416.87	Professional		$302.00	$331.13	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $489.78	Facility		$117.49	$288.40	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $630.96	Professional		$194.98	$194.98	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $354.81 / $10,000.00	Facility		$109.65	$354.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $354.81 / $10,000.00	Professional		$109.65	$354.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $302.00 / $363.08	Facility		$52.48	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $181.97	Professional		$37.15	$125.89	$181.97