Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $316.23 / $676.08	Facility		$120.23	$316.23	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $186.21	Professional		$75.86	$109.65	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $575.44	Facility		$141.25	$141.25	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $151.36	Professional		$85.11	$85.11	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $588.84 / $891.25	Professional		$123.03	$588.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $316.23 / $676.08	Facility		$144.54	$316.23	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $245.47	Professional		$70.79	$104.71	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $302.00	Facility		$120.23	$199.53	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $302.00	Professional		$102.33	$102.33	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $10,000.00	Facility		$120.23	$173.78	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $10,000.00	Professional		$120.23	$173.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $169.82	Facility		$104.71	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $194.98	Professional		$60.26	$79.43	$194.98