Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $475.98 / $772.40	Facility		$188.09	$475.98	$772.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.09 / $208.15 / $232.05	Professional		$188.09	$208.15	$232.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $250.78 / $1,221.30	Facility		$250.78	$250.78	$1,221.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $121.34 / $129.90	Professional		$121.34	$121.34	$129.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $450.16 / $687.98 / $1,029.84	Professional		$450.16	$687.98	$1,029.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $468.61 / $1,284.91	Facility		$163.01	$468.61	$1,284.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $203.04 / $360.34	Professional		$138.22	$203.04	$360.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.94 / $313.48 / $371.15	Professional		$300.94	$313.48	$371.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.65 / $182.65 / $232.05	Facility		$182.65	$182.65	$232.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $212.34 / $212.34	Professional		$3.86	$212.34	$212.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $183.07 / $327.27 / $7,420.00	Facility		$183.07	$327.27	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $327.27 / $7,420.00	Professional		$183.07	$327.27	$7,420.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $125.39 / $212.34	Professional		$89.18	$125.39	$212.34