Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $364.42 / $687.36	Facility		$144.00	$364.42	$687.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $157.44 / $163.19	Professional		$144.00	$157.44	$163.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.22 / $935.04 / $1,180.80	Facility		$729.22	$935.04	$1,180.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $56.79	Professional		$33.47	$33.47	$56.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $299.52	Professional		$153.60	$153.60	$299.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $357.61 / $982.96	Facility		$124.80	$357.61	$982.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $106.08 / $280.61	Professional		$40.90	$106.08	$280.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $230.40 / $284.16	Professional		$192.00	$230.40	$284.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.59 / $190.94 / $298.66	Facility		$104.59	$190.94	$298.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $199.73 / $453.60	Professional		$103.00	$199.73	$453.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $192.00 / $4,071.00	Facility		$83.67	$192.00	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $192.00 / $4,071.00	Professional		$83.67	$192.00	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $84.48 / $124.80	Professional		$35.14	$84.48	$124.80