Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $562.34	Facility		$144.54	$331.13	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $204.17	Professional		$97.72	$131.83	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $676.08	Facility		$169.82	$169.82	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Professional		$67.61	$67.61	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $489.78 / $724.44	Professional		$138.04	$489.78	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $776.25	Facility		$173.78	$407.38	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $245.47	Professional		$72.44	$102.33	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $239.88	Professional		$169.82	$186.21	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $288.40	Facility		$134.90	$162.18	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $162.18 / $354.81	Professional		$50.12	$162.18	$354.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $10,000.00	Facility		$120.23	$199.53	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $10,000.00	Professional		$112.20	$199.53	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $169.82 / $204.17	Facility		$77.62	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $181.97	Professional		$53.70	$77.62	$181.97