Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $331.13 / $676.08	Facility		$100.00	$331.13	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $144.54	Professional		$97.72	$104.71	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $537.03	Facility		$134.90	$134.90	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Professional		$67.61	$67.61	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $977.24	Professional		$407.38	$645.65	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $346.74 / $616.60	Facility		$138.04	$346.74	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $154.88	Professional		$61.66	$95.50	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $199.53	Professional		$134.90	$162.18	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $134.90	Professional		$97.72	$97.72	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $208.93	Facility		$100.00	$117.49	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $288.40	Professional		$109.65	$109.65	$288.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $10,000.00	Facility		$95.50	$169.82	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $10,000.00	Professional		$95.50	$169.82	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $162.18	Facility		$57.54	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $112.20	Professional		$40.74	$61.66	$112.20