Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $489.78 / $1,023.29	Facility		$194.98	$489.78	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $302.00	Professional		$173.78	$204.17	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,047.13	Facility		$263.03	$263.03	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $186.21	Professional		$104.71	$104.71	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $234.42	Professional		$199.53	$213.80	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $512.86 / $1,348.96	Facility		$169.82	$512.86	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $467.74	Professional		$117.49	$186.21	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $363.08	Professional		$263.03	$288.40	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $208.93 / $363.08	Facility		$190.55	$208.93	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $549.54	Professional		$169.82	$169.82	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $10,000.00	Facility		$181.97	$309.03	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $10,000.00	Professional		$181.97	$316.23	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $309.03	Facility		$109.65	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $302.00	Professional		$109.65	$128.82	$302.00