Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $363.08 / $478.63	Facility		$144.54	$363.08	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $223.87	Professional		$128.82	$154.88	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $776.25	Facility		$194.98	$194.98	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $134.90	Professional		$77.62	$77.62	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $173.78	Professional		$147.91	$158.49	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $1,000.00	Facility		$194.98	$380.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $302.00	Professional		$93.33	$120.23	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $269.15	Professional		$194.98	$213.80	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $316.23	Facility		$144.54	$186.21	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $407.38	Professional		$125.89	$125.89	$407.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $10,000.00	Facility		$162.18	$223.87	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $10,000.00	Professional		$158.49	$223.87	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $234.42	Facility		$114.82	$194.98	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $223.87	Professional		$81.28	$97.72	$223.87