Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $281.84 / $691.83	Facility		$107.15	$281.84	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $151.36	Professional		$85.11	$93.33	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $457.09	Facility		$114.82	$114.82	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $97.72	Professional		$57.54	$57.54	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $537.03 / $831.76	Professional		$97.72	$537.03	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $295.12 / $524.81	Facility		$117.49	$295.12	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $190.55	Professional		$38.90	$77.62	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Professional		$114.82	$138.04	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $229.09	Professional		$165.96	$165.96	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $218.78	Facility		$93.33	$112.20	$218.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $239.88	Professional		$93.33	$93.33	$239.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $10,000.00	Facility		$104.71	$162.18	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $10,000.00	Professional		$104.71	$162.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $114.82 / $138.04	Facility		$48.98	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $165.96	Professional		$48.98	$69.18	$165.96