Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $1,258.93	Facility		$199.53	$588.84	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $426.58	Professional		$173.78	$213.80	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,047.13	Facility		$263.03	$263.03	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $186.21	Professional		$104.71	$104.71	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $812.83 / $1,258.93	Professional		$223.87	$812.83	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $1,202.26	Facility		$309.03	$512.86	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $389.05	Professional		$117.49	$162.18	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $371.54	Professional		$263.03	$316.23	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $478.63	Facility		$223.87	$331.13	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $549.54	Professional		$173.78	$173.78	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $10,000.00	Facility		$218.78	$309.03	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $10,000.00	Professional		$199.53	$309.03	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $316.23	Facility		$112.20	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $467.74	Professional		$147.91	$245.47	$467.74