Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $309.03 / $912.01	Facility		$151.36	$309.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $338.84	Professional		$102.33	$117.49	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $575.44	Facility		$144.54	$144.54	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Professional		$70.79	$70.79	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $575.44 / $870.96	Professional		$123.03	$575.44	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $331.13 / $660.69	Facility		$218.78	$331.13	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $257.04	Professional		$72.44	$102.33	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $213.80	Professional		$144.54	$173.78	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $331.13	Facility		$123.03	$223.87	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $302.00	Professional		$13.49	$13.49	$302.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $10,000.00	Facility		$123.03	$190.55	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $10,000.00	Professional		$125.89	$190.55	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $173.78	Facility		$60.26	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $288.40	Professional		$87.10	$141.25	$288.40