Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $288.40 / $537.03	Facility		$102.33	$288.40	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $158.49	Professional		$91.20	$109.65	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $549.54	Facility		$138.04	$138.04	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $97.72	Professional		$54.95	$54.95	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $123.03	Professional		$104.71	$112.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $707.95	Facility		$138.04	$338.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $213.80	Professional		$64.57	$83.18	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $190.55	Professional		$138.04	$151.36	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $234.42	Facility		$109.65	$151.36	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $288.40	Professional		$89.13	$89.13	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $10,000.00	Facility		$114.82	$162.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $10,000.00	Professional		$114.82	$162.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $165.96	Facility		$81.28	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $158.49	Professional		$57.54	$69.18	$158.49