Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $380.19 / $1,047.13	Facility		$128.82	$380.19	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $281.84	Professional		$128.82	$147.91	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $691.83	Facility		$173.78	$173.78	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $794.33 / $1,230.27	Professional		$147.91	$794.33	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $794.33	Facility		$275.42	$446.68	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $346.74	Professional		$95.50	$128.82	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $257.04	Professional		$173.78	$204.17	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $457.09	Facility		$151.36	$302.00	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $363.08	Professional		$138.04	$138.04	$363.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $10,000.00	Facility		$165.96	$251.19	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $10,000.00	Professional		$169.82	$251.19	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $173.78 / $208.93	Facility		$72.44	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $389.05	Professional		$104.71	$173.78	$389.05