Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $602.56 / $1,258.93	Facility		$239.88	$602.56	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $512.86	Professional		$213.80	$257.04	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,288.25	Facility		$323.59	$323.59	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $223.87	Professional		$128.82	$128.82	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $288.40	Professional		$245.47	$263.03	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $1,621.81	Facility		$323.59	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $467.74	Professional		$158.49	$194.98	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $446.68	Professional		$323.59	$354.81	$446.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $549.54	Facility		$257.04	$354.81	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $676.08	Professional		$208.93	$208.93	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $10,000.00	Facility		$275.42	$426.58	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $10,000.00	Professional		$275.42	$426.58	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $380.19	Facility		$190.55	$323.59	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $371.54	Professional		$134.90	$158.49	$371.54