Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $416.87	Facility		$141.25	$239.88	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $218.78	Professional		$93.33	$141.25	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $891.25	Facility		$575.44	$741.31	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $239.88	Professional		$141.25	$141.25	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $478.63 / $724.44	Professional		$141.25	$478.63	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $239.88 / $724.44	Facility		$93.33	$239.88	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $245.47	Professional		$72.44	$114.82	$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 $141.25 / $158.49 / $263.03	Facility		$141.25	$158.49	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $302.00	Professional		$141.25	$141.25	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $10,000.00	Facility		$100.00	$158.49	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $10,000.00	Professional		$107.15	$162.18	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $169.82	Facility		$85.11	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $158.49	Professional		$85.11	$107.15	$158.49