Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $851.14	Facility		$204.17	$524.81	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $489.78	Professional		$173.78	$223.87	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,096.48	Facility		$275.42	$275.42	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $194.98	Professional		$109.65	$109.65	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,174.90 / $1,737.80	Professional		$251.19	$1,174.90	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $630.96 / $1,258.93	Facility		$281.84	$630.96	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $398.11	Professional		$134.90	$169.82	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $467.74	Facility		$218.78	$331.13	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $575.44	Professional		$177.83	$446.68	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $10,000.00	Facility		$234.42	$363.08	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $10,000.00	Professional		$239.88	$363.08	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $331.13	Facility		$165.96	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $316.23	Professional		$114.82	$138.04	$316.23