Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $550.74 / $780.66	Facility		$163.55	$550.74	$780.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $194.07 / $243.50	Professional		$163.55	$194.07	$243.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $1,071.76	Facility		$218.06	$218.06	$1,071.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $105.40 / $169.35	Professional		$105.40	$105.40	$169.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $425.22 / $1,290.83	Professional		$218.06	$425.22	$1,290.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $525.66 / $1,117.19	Facility		$141.74	$525.66	$1,117.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.09 / $161.68 / $422.23	Professional		$111.09	$161.68	$422.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $261.67 / $322.73	Professional		$218.06	$261.67	$322.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $358.17 / $526.83	Facility		$181.54	$358.17	$526.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $337.00 / $523.34	Professional		$218.00	$337.00	$523.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.45 / $270.17 / $4,071.00	Facility		$194.45	$270.17	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $270.17 / $4,071.00	Professional		$196.25	$270.17	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $436.77	Facility		$218.06	$218.06	$436.77
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $124.29 / $296.83	Professional		$91.59	$124.29	$296.83