Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $1,380.38	Facility		$194.98	$562.34	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $338.84	Professional		$181.97	$208.93	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,023.29	Facility		$257.04	$257.04	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $223.87	Professional		$125.89	$125.89	$223.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,174.90 / $1,778.28	Professional		$218.78	$1,174.90	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $602.56 / $1,318.26	Facility		$263.03	$602.56	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $501.19	Professional		$141.25	$190.55	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $363.08	Professional		$257.04	$281.84	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $588.84	Facility		$213.80	$398.11	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $537.03	Professional		$208.93	$208.93	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $10,000.00	Facility		$229.09	$338.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $10,000.00	Professional		$234.42	$338.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $309.03	Facility		$107.15	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $354.81	Professional		$107.15	$147.91	$354.81